论文部分内容阅读
目的:探讨ST段抬高性急性心肌梗死(STEMI)患者起病后不同时间溶栓治疗的临床护理方法。方法:将338例STEMI患者按起病距溶栓时间不同分为研究组248例和对照组为90例,观察两组不同溶栓时间血管再通率及5周病死率情况。结果:研究组血管再通率明显优于对照组(P<0.05),5周病死率明显低于对照组(P<0.05)。结论:溶栓治疗是STEMI患者早期心肌再灌注治疗的重要措施,起病6 h内接受治疗效果较好,密切观察病情并采取有效护理措施是提高疗效的重要保障。
Objective: To investigate the clinical nursing of thrombolytic therapy in patients with ST-segment elevation acute myocardial infarction (STEMI) at different times after onset. Methods: A total of 338 STEMI patients were divided into study group (248 cases) and control group (90 cases) according to different onset of thrombolytic time. The rate of vascular recanalization and 5-week mortality were observed in two groups. Results: The recanalization rate of the study group was significantly better than that of the control group (P <0.05). The 5-week mortality rate was significantly lower than that of the control group (P <0.05). Conclusion: Thrombolytic therapy is an important measure of myocardial reperfusion therapy in early stage of STEMI patients. The treatment within 6 hours of onset is effective. Close observation of the condition and effective nursing measures are the important guarantee to improve the curative effect.