摘要
目的探讨急诊经皮冠状动脉介入治疗(percutaneous transluminal coronary intervention,PCI)绿色通道临床护理路径在急性心肌梗死(Acute Myocardium Infarction,AMI)患者中的应用价值。方法选择2016年12月—2018年12月于我院治疗的AMI并行急诊PCI患者96例,其中2016年12月—2017年12月急诊PCI绿色通道临床护理路径实施前50例患者设为对照组,2018年1—12月急诊PCI绿色通道临床护理路径实施后46例患者设为观察组。结果观察组住院时间、入导管室时间、急诊球囊扩张时间分别为(9.73±3.82)d、(26.34±4.03)min、(75.19±20.43)min,均短于对照组的(12.79±5.36)d、(40.28±12.19)min、(95.82±26.35)min,差异具有统计学意义(P<0.05);观察组不良预后发生率为8.70%,低于对照组30.00%,差异具有统计学意义(P<0.05)。结论急诊PCI绿色通道临床护理路径能够有效缩短救治时间,提升救治效果,利于减少复发率与病死率,利于患者预后。
Objective To explore the application value of emergency PCI green channel clinical nursing pathway in patients with AMI.Methods 96 patients with AMI and emergency PCI who were treated in our hospital from December 2016 to December 2018 were selected.50 patients before the implementation of emergency PCI green channel clinical nursing pathway from December 2016 to December 2017 were selected as control group,and 46 patients after the implementation of emergency PCI green channel clinical nursing pathway from January 2018 to December 2018 were selected as observation group.Results The hospitalization time,catheterization time and emergency balloon dilatation time in the observation group were(9.73±3.82)d,(26.34±4.03)min,(75.19±20.43)min,respectively,shorter than those in the control group(12.79±5.36)d,(40.28±12.19)min,(95.82±26.35)min,with significant difference(P<0.05).The prognosis rate was 8.70%,lower than that of the control group(30.00%,P<0.05).Conclusion Emergency PCI green channel clinical nursing pathway can effectively shorten the treatment time,improve the treatment effect,reduce the recurrence rate and mortality,and benefit the prognosis of patients.
作者
陈爽
CHEN Shuang(Emergency Department,Xiaogan Hospital Affiliated to Wuhan University of Science and Technology,Xiaogan Hubei 432000,China)
出处
《中国卫生标准管理》
2020年第14期153-154,共2页
China Health Standard Management
关键词
急性心肌梗死
急诊科
经皮冠状动脉介入术
绿色通道
临床护理路径
预后
acute myocardial infarction
emergency department
percutaneous coronary intervention
green channel
clinical nursing pathway
prognosis
