院前急救联合护理干预改善急性心肌梗死病人有效性探究

[目的]探讨采用院前急救联合护理干预施措对急性心肌梗死(AMI)病人近期预后的影响。[方法]收治的AMI病人158例,按入院方式分为两组,观察组86例由医护人员出车接诊,实施院前急救联合护理干预,对照组72例由家属自行送至医院,未接受专业的院前急救及护理。对比两组发病至抢救时间以及溶栓与住院时间,统计两组血栓再通率与病死率。[结果]观察组发病至抢救时间(24.25min±12.62min)、溶栓时间(1.62d±0.83d)与住院时间(9.57d±4.48d)均短于对照组(45.14min±16.45min,4.03d±1.68d,18.65d±5.79d)(P0.05)。观察组血管再通率(79.07%)高于对照组(58.33%)(P0.05),病死率(6.98%)低于对照组(18.06%)(P0.05)。[结论]院前急救联合护理干预能够缩短AMI病人的救治时间,降低病死率。

Effectiveness of pre-hospital emergency combined with nursing intervention for patients with acute myocardial infarction

Objective: To probe into the effectiveness of pre-hospital emergency combined with nursing intervention of patients with acute myocardial infarction(AMI).Methods: A total of 158 patients with AMI in our hospital from Jan 2014 to Oct 2014 were divided into two groups according to the admission types.The patients in observation group (86 cases) were picked up by emergency medical personnel with ambulance and given pre-hospital emergency combined with nursing intervention,the patients in control group (72 cases) were sent to hospital by their families without professional pre-hospital emergency combined with nursing intervention,then to compare the time from onset to hospital,thrombolytic and hospitalization time,and the fatality rate,the revascularization rate between two groups.Results: The time from onset to hospital was (24.25±12.62)min,thrombolytic time was (1.62±0.83) d and hospitalization time was (9.57±4.48)d in the observation group,and these time were shorter than those in control group(45.14±16.45)min,(4.03±1.68)d,(18.65±5.79)d(P<0.05).The revascularization rate in the observation group(79.07%)was lower than that in the control group(58.33%)(P<0.05),the fatality rate in the observation group(6.98%)was lower than that in the control group(18.06)(P<0.05).Conclusion:The pre-hospital emergency combined with nursing intervention could reduce the time of rescue in AMI patients and improve the successful rate of treatment.