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目的:观察在抢救急性心肌梗死患者时采用急救护理路径的效果并进行分析。方法:选取2014年6月至2015年7月在中山市黄圃人民医院心血管急诊科接受急诊治疗的192例心肌梗死患者。其中95例急性心肌梗死患者采取的是对症急救护理路径,作为观察组;其余97例急性心肌梗死患者采取的是传统急救护理流程,作为传统组。分别观察和分析两组患者临床护理和治疗效果的不同。结果:两组结果比较,观察组在急诊室滞留时间、首次球囊扩张时间、住院时间方面都要比传统组明显要短,差异具有统计学意义(P<0.05)。观察组心肌梗死复发率9.23%明显小于传统组22.83%(P<0.05);观察组再行冠状动脉介入治疗(PCI)率明显小于传统组32.28%(P<0.05);观察组病死率为4.31%,传统组病死率为15.74%,观察组病死率远小于传统组(P<0.05)。结论:给与患者实行针对急性心肌梗死的临床急救护理路径,能够最大化的为患者争取前期治疗时间,能够最大程度的减少对患者的心肌损害。
OBJECTIVE: To observe the effects of emergency care pathways in the rescue of patients with acute myocardial infarction and analyze them. Methods: A total of 192 patients with myocardial infarction receiving emergency treatment at the Cardiovascular Emergency Department of Zhongshan Huangpu People’s Hospital from June 2014 to July 2015 were selected. 95 cases of acute myocardial infarction were taken symptomatic emergency care pathways, as the observation group; the remaining 97 cases of acute myocardial infarction patients to take the traditional emergency care process, as the traditional group. The differences of clinical nursing and treatment effect between the two groups were observed and analyzed respectively. Results: Compared with the traditional group, the observation group had shorter duration of stay, first time of balloon dilation and hospital stay than the traditional group. The difference was statistically significant (P <0.05). In the observation group, the recurrence rate of myocardial infarction was 9.23%, which was significantly lower than that of the traditional group (22.83%, P <0.05). The rate of PCI in the observation group was significantly lower than that of the traditional group (32.28%, P <0.05) %, The mortality of the traditional group was 15.74%, the mortality of the observation group was much less than that of the traditional group (P <0.05). CONCLUSIONS: Given clinical emergency care pathways for acute myocardial infarction in patients, maximizing pre-treatment time for patients and minimizing myocardial damage to the patient can be achieved.