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目的 探讨团队工作模式的流程在抢救急性心肌梗死病人中的临床价值.方法 连续性选择2015年6月-2016年5月上海市嘉定区中心医院急诊科收治的急性心肌梗死的患者63例,所患者均行冠脉造影明确.记录患者的一般资料及临床资料,采用随机数字表法将患者分为对照组(n=32)和观察组(n=31),比较两组患者的一般人口学资料、基线临床资料、急诊的处置效能(包括分诊时间、心电图时间、血标本检测时间、抢救室滞留时间)、院内心脏事件(复发、再次PCI)及预后.结果 相对于对照组,观察组的心电图报告时间[(9.84±3.62) minvs (4.90±1.83)min,(P＜0.01)]、血标本检测时间[(45.06± 12.75) min vs(19.81±2.12)min,(P＜0.01)]、抢救室滞留时间[(67.31±26.24)min vs(39.19 ±14.11)min,(P＜0.01)]显著降低,而住院天数、院内复发率、再次PCI率及死亡率均降低,但无统计学意义(均P ＞0.05).结论 团队工作模式的流程能够提高急诊处置急性心肌梗死患者的效能.团队工作模式的流程能提高急诊处置效能,但不能降低患者的住院天数、院内心脏事件及病死率.“,”Objective To investigate the clinical value of teamwork procedure in saving acute myocardial infarction (AMI) patients in emergency department.Methods 63 AMI patients,aged (62.24±14.51),were randomly assigned to 2 groups:control group (n=32) receiving traditional nursing mode teamwork procedure and observation group (n=31) treated by a team composed of 2 nurses,one physician,and one electrocardiogram room technician.The emergency disposal efficiency (EDE),hospital cardiac cardiac event (palindromia,reoperation of PCI) and the prognosis were compared.Results The ECG time,blood preparation time,and time of emergency room stay of the observation group were (4.90± 1.83) min,(19.81±2.12) min,and (39.19 ±14.11) min respectively,all significantlu shorter than those of the contyrol group [(9.84±3.62) min,(45.06±12.75) min,and (67.31±26.24) min respectively,all P＜0.001].However,although the triagfeaccessment time anf hospital stay time of the observation group were shorter than those of the control group,and the rate of palindromia,reoperation of PCI between the rates of palindromia and reoperation of percutaneous coronary intervention were of the observation group were lower than those of the control group,but there were not significant differences (all P＞0.05).Conclusion The teamwork procedure improves the curative efficiency for the AMI patients in emergency department.