急诊护理路径对急性心肌梗死患者抢救效果的影响

车荣华

（西安市长安区医院，陕西 西安，710100）

浏览次数：62次 下载次数：380次

摘要：

目的 分析急诊护理路径对急性心肌梗死（AMI）患者抢救效果的影响。方法 选取2015年2月至2016年11月本院急诊收治的急性心肌梗死患者70例，随机将其分为对照组和观察组，各35 例。对照组按常规急诊救治流程护理，观察组急诊救治中应用急诊护理路径，观察两组患者临床疗效，并统计两组患者住院期间AMI和PCI的发生率。结果 观察组的总有效率为91.43%，显著高于对照组的77.14%（P<0.05）；观察组患者住院期间PCI 再发生率为8.57%，AMI再发生率为11.43%，分别低于对照组的22.86%和25.71%（P<0.05）。结论 AMI 救治中应用急诊护理路径可提高患者急救效果，有助于改善患者预后，临床应用价值较高。

关键词：急诊护理路径；急性心肌梗死；经皮冠状动脉介入治疗

中图分类号：R473.5 文献标志码：A文章编号：2096-1413(2017)19-0179-02

Effect of emergency nursing path on the rescue effect of acute myocardial infarction
CHE Rong-hua
(Changan District Hospital, Xi``an 710100, China)

ABSTRACT: Objective To analyze the effect of emergency nursing path on the rescue effect of acute myocardial infarction (AMI). Methods Seventy cases of patients with AMI in our hospital from February 2015 to November 2016 were selected, which were randomly divided into control group and observation group, with 35 cases in each group. The control group received routine nursing, while the observation group was given emergency nursing path. The clinical effects of the two groups were observed, and the incidences of AMI and PCI of the two groups during hospitalization were counted. Results The total effective rate of the observation group was 91.43%, which was significantly higher than 77.14% of the control group (P<0.05). The recurrent rate of PCI was 8.57%, and the recurrent rate of AMI was 11.43% in the observation group, which were lower than 22.86% and 25.71% respectively of the control group (P<0.05). Conclusion The application of emergency nursing pathway in the treatment of AMI can improve the first aid effect and improve the prognosis of patients, which has high clinical value.
KEYWORDS: emergency nursing path; acute myocardial infarction; percutaneous coronary intervention

参考文献：
[1] 韩彦辉,王素梅,李海霞.急诊护理路径对急性心肌梗死抢救效果的影响[J].护理实践与研究,2013,10(3):40-41.
[2] 孟晓杰,郝君华.急诊护理路径与传统护理对急性心肌梗死抢救效果的影响[J].现代中西医结合杂志,2015,24(5):557-559.
[3] 姜浩.观察急诊护理路径对急性心肌梗死抢救效果的影响[J].中西医结合心血管病杂志,2014,2(16):146-147.
[4] 钮湘浚.急诊护理路径对急性心肌梗死患者抢救效果的影响分析[J].中国民康医学,2015,8(15):116-117.
[5] 刘迪.急诊护理路径与传统护理对急性心肌梗死抢救及康复的影响[J].实用临床医药杂志,2015,19(20):7-9.
[6] 许新华.急性心肌梗死在急诊护理中的干预体会[J].实用临床医药杂志,2013,17(16):185-186.
[7] 杜红.63 例急性心肌梗死合并心律失常的临床护理[J].中国保健营养,2013,23(6):1331.
[8] 刘玉香,谭燕华.综合急诊护理干预对急性心肌梗死抢救效果的影响[J].心血管病防治知识:学术版,2016,7(1):125-126.
[9] 盛学相.急诊护理路径对急性心肌梗死患者抢救效果的影响[J].泰山医学院学报,2016,37(5):587-588.
[10] 曹飞.急诊护理路径与传统护理对急性心肌梗死抢救效果及康复效果的影响[J].临床医药文献电子杂志,2016,3(23):4618-4619.