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急救护理路径在救治急性心肌梗死患者中的应用效果 被引量:40

Effect of emergency nursing pathway in treating patients with acute myocardial infarction
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摘要 目的探讨急救护理路径对提升急性心肌梗死患者抢救效果的价值。方法将急性心肌梗死患者98例随机均分为2组,对照组予常规护理,观察组严格遵循急救护理路径要求开展护理。对比2组分诊评估、心电图、静脉采血、静脉用药、急救总时间以及住院总时间、院内心肌梗死复发率、病死率、院内再介入手术率。结果观察组分诊评估、心电图、静脉采血、静脉用药及急救总时间均显著短于对照组(P<0.05);与对照组比较,观察组住院总时间更短、院内心肌梗死复发率更低、病死率更低、院内再介入手术率更低,差异均有统计学意义(P<0.05)。结论急救护理路径对缩短抢救急性心肌梗死抢救时间窗及提升抢救效果有促进作用,值得推广。 Objective To investigate effect of emergency nursing pathway in treating patients with acute myocardial infarction. Methods A total of 98 patients with acute myocardial infarction were randomly divided into two groups,control group was given conventional nursing and the observation group carried out emergency nursing pathway. Triage assessment, electrocardiogram( ECG),venous blood sampling,intravenous drug use and emergency total time were compared. And duration of hospital stay,mortality,recurrence rate of myocardial infarction,and recurrence rate of invasive surgery were compared. Results Triage assessment,electrocardiogram,venous blood sampling,intravenous drug use and emergency total time in the observation group were significantly shorter than that in the control group( P〈0. 05). The observation group had shorter duration of hospital stay,lower mortality,recurrence rate of myocardial infarction and recurrence rate of invasive surgery,and the differences above were statistically significant( P〈0. 05). Conclusion Emergency nursing pathway can shorten rescuing time of acute myocardial infarction,and improve rescue efficacy,so it is worthy of promotion.
出处 《实用临床医药杂志》 CAS 2016年第6期1-3,共3页 Journal of Clinical Medicine in Practice
关键词 急救 临床护理路径 急性心肌梗死 护理 first aid clinical nursing pathway acute myocardial infarction nursing
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