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目的:分析循证护理应用于急性心肌梗死后心律失常的效果.方法:以2019年4月到2020年4月到我院治疗的80例急性心肌梗死后心律失常患者作为研究对象,采用随机数字表法分为实验组和对照组,各40例.对照组施行心肌梗死及心律失常护理常规,而实验组施行循证护理.比较两组患者的住院时长、生活质量、并发症发生率、依从性和心理状态.结果:与对照组患者相比,实验组患者在接受了循证护理后,住院时间更短,依从性更高,且生活质量和心理状态明显改善,差异具有统计学意义(p＜0.05).有少量的患者在治疗期间出现了各种并发症状,“,”Objective: To analyze the effect of evidence - based care on arrhythmia after acute myocardial infarction. Methods: In 80 patients with acute myocardial infarction treated from April 2019 to April 2020, randomized digital tables was divided into experimental and control groups with 40 each. The control group performed routine myocardial infarction and arrhythmia care, while the experimental group performed evidence -based care. We compared the duration of hospitalization, quality of life, complication rates, compliance, and psychological state of the two groups. Results: Compared with the evidence - based care, shorter hospitalization, higher compliance and improved quality of life and psychological status ( p ＜ 0. 05 ). A small number of patients developed various complications during treatment, both significantly improved after clinical treatment, and the differences were not statistically significant ( p ＞ 0.05). Conclusion: The active application of evidence - based care concept in patients with acute myocardial infarction can not only significantly shorten the length of hospitalization, but also improve the quality of life, which deserves further promotion and application.