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基于时间量化的急救护理模式对不稳定型心绞痛患者抢救效果影响

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目的:探讨基于时间量化的急救护理模式对不稳定型心绞痛(UAP)患者抢救效果的影响.方法:选取2021年8月—2023年7月中国中医科学院广安门医院收治的80例UAP患者作为研究对象,将2021年8月—2022年7月收治的40例患者作为对照组,将2022年8月—2023年7月收治的40例患者作为观察组.对照组患者采取常规急救护理,观察组患者采取基于时间量化的急救护理模式.对比两组患者急救效率、院内死亡率、心肌梗死发生率及胸痛缓解率情况,并分别在急诊时和出院前记录两组患者心脏超声过程中心室射血分数(LVEF)、左心室收缩末期容积(LVESV)、左心室舒张末期容积(LVEDV)表达水平.结果:观察组患者急诊停留、分诊到会诊、会诊到确诊、首份心电图及胸痛缓解时间明显短于对照组,差异有统计学意义(t=8.516、7.179、2.687、4.573、3.279,P<0.05);观察组患者心肌梗死发生率明显低于对照组,胸痛缓解率明显高于对照组,差异有统计学意义(x2=4.114、11.250,P<0.05);出院前,两组患者LVEF均升高,观察组高于对照组,两组患者LVESV、LVEDV降低,观察组低于对照组,差异有统计学意义(t=3.566、2.133、4.447,P<0.05).结论:应用基于时间量化的急救护理模式可提升UAP患者的抢救效率,降低心肌梗死发生率,提升胸痛缓解率,促进患者心功能转归.
Influence of Emergency Nursing Mode Based on Time Quantification on the Rescue Effect of Patients with Unstable Angina Pectoris
Objective:To explore the effect of emergency nursing mode based on time quantification on the rescue effect of patients with unstable angina pectoris(UAP).Methods:80 patients with unstable angina pectoris in the hospital from August 2021 to July 2023 were selected and retrospectively analyzed.40 patients in the first year were divided into the control group.40 patients in the second year were divided into the observation group.They were given the emergency nursing mode based on time quantification.The emergency efficiency,in-hospital mortality,incidence of myocardial infarction and chest pain relief rate of the two groups were compared,and the expression levels of cardiac ejection fraction(LVEF),left ventricular end systolic volume(LVESV)and left ventricular end diastolic volume(LVEDV)in the two groups were recorded at the time of emergency and before discharge.Results:The observation group showed significantly lower emergency stay time,triage to consultation,consultation to diagnosis,first electrocardiogram,and chest pain relief time compared to the control group(t=8.516,7.179,2.687,4.573,3.279;P<0.05).The incidence of myocardial infarction in the observation group was significantly lower than that in the control group,and the relief rate of chest pain was significantly higher than that in the control group,with statistically significant difference(x2=4.114,11.250;P<0.05).Before discharge,the LVEF of the two groups of patients increased.The observation group was higher than the control group,while LVESV and LVEDV decreased.The observation group was lower than the control group,and the difference was statistically significant(t=3.566,2.133,4.447;P<0.05).Conclusion:The emergency nursing mode based on time quantification can improve the rescue efficiency of patients with unstable angina pectoris,reduce the incidence of myocardial infarction,improve the remission rate of chest pain,and promote the prognosis of patients with cardiac function.

Time quantificationEmergency care modeUnstable angina pectorisFirst aid efficiencyCardiac function

陈金玲

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中国中医科学院广安门医院急诊科,北京 102600

时间量化 急救护理模式 不稳定型心绞痛 急救效率 心功能

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(20)