Influence of fixed emergency response team combined with emergency process optimization on thrombolysis time and emergency effect in patients with acute myocardial infarction
Objective To explore the influence of fixed emergency response team combined with emergency process optimization on thrombolysis time and emergency effect in patients with acute myocardial infarction.Methods One hundred and twenty-eight patients with acute myocardial infarction in the hospital were selected from June 2023 to March 2024 as the study subjects,and were divided into control group(n=64,emergency process optimization measure)and study group(n=64,fixed emergency response team treatment on the basis of control group)according to different emergency model.The emergency indicators(triage evaluation time,venous patency time,electrocardiogram time,thrombolysis time),vital signs[heart rate(HR),respiratory rate(RR),systolic blood pressure(SBP),diastolic blood pressure(DBP)],cardiac function indicators[left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD)],emergency effect and occurrence of adverse events were observed and compared between groups.Results The triage evaluation time,venous patency time,electrocardiogram examination time and thrombolysis time in study group were shorter than those in control group(t=2.932,3.922,5.342,2.544,P<0.05).Before emergency,HR,RR,SBP,DBP,LVEDD and LVEF were similar between both groups(P>0.05).After emergency,HR,RR,SBP,DBP and LVEDD in the two groups were lower than those before emergency,and the indicators in study group were lower than those in control group(t=3.440,4.728,3.754,6.551,3.811,P<0.05).After emergency,the lVEF was risen than that before emergency,and LVEF in study group was higher compared to control group(t=5.880,P<0.05).The total effective rate of emergency treatment in the study group was 93.75%(60/64),which was higher than 81.25%(52/64)in the control group(χ2=4.571,P<0.05).The total incidence rate of adverse events was 23.44%(15/64)in control group and 14.06%(9/64)in study group,and there was no statistical difference between groups(P>0.05).Conclusion Fixed emergency response team combined with emergency process optimization can shorten the emergency time of AMI patients,stabilize the vital signs,and effectively improve the cardiac function of patients,and it has a good emergency effect.
Fixed emergency response teamEmergency process optimizationAcute myocardial infarctionThrombolysis timeEmergency effect
维普
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