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目的分析讨论急诊护理对心肌梗死患者抢救成功率及预后的影响。方法选择2014年5月—2015年5月期间本院接收心肌梗死患者共计400例,以随机分配法则为依据将其均分为对照组和观察组各200例,其中,对照组200例患者接受传统护理干预,观察组200例患者接受急诊护理干预,比较两组患者相关临床指标,计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果对照组患者在急诊的留置时间为(48.6±12.9)min、抢救时间为(68.4±15.43)min、住院时间为(16.8±0.4)d,均高于观察组的(27.7±11.4)、(45.6±10.7)min、(11.9±0.4)d,对比差异均有统计学意义(均P<0.05)。观察组抢救成功率为97.5%,高于对照组的83.0%,住院期间复发率为4.0%,低于对照组的12.0%,且对比差异均具有统计学意义(均P<0.05)。随访调查发现,对照组并发症发生率为34.0%,高于观察组的7.5%,对比差异有统计学意义(P<0.05),对照组死亡率为3.5%,略高于观察组的2.0%,但对比差异无统计学意义(P>0.05)。结论对于急性心肌梗死患者应用急诊护理干预,可以缩短抢救时间,提高抢救成功率,同时具有良好的预后效果。
Objective To analyze and discuss the effect of emergency nursing on rescue success rate and prognosis in patients with myocardial infarction. Methods A total of 400 patients with myocardial infarction in our hospital from May 2014 to May 2015 were selected and randomly divided into control and observation groups of 200 cases based on the random distribution rule, of which 200 cases in the control group received Traditional nursing intervention, observation group of 200 patients receiving emergency nursing intervention, comparing the two groups of patients with clinical indicators, measurement data using t test, count data usingχ2 test, P <0.05 for the difference was statistically significant. Results In the control group, the duration of stay in emergency department was (48.6 ± 12.9) min, the duration of rescue was (68.4 ± 15.43) min, the length of stay in hospital was (16.8 ± 0.4) days, which were significantly higher than those in observation group (27.7 ± 11.4) and 45.6 ± 10.7) min and (11.9 ± 0.4) d, respectively, with significant difference (all P <0.05). The success rate of rescue in the observation group was 97.5%, higher than 83.0% in the control group, 4.0% in the hospitalization period, lower than 12.0% in the control group, and the differences were statistically significant (all P <0.05). Follow-up survey found that the incidence of complications in the control group was 34.0%, higher than the observation group 7.5%, the difference was statistically significant (P <0.05), the control group mortality was 3.5%, slightly higher than the observation group 2.0% , But the difference was not statistically significant (P> 0.05). Conclusion The application of emergency nursing intervention in acute myocardial infarction patients can shorten the rescue time, improve the success rate of rescue, and have good prognosis.