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探讨院前急救护理路径在抢救急性心肌梗死患者中的作用

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目的 研究急性心肌梗死(AMI)患者行院前急救护理路径的效果。方法 选择本中心2021年1月—2023年12月收治的128例AMI患者为研究对象,采用双盲法将其分为常规组和路径组,每组64例。其中,常规组采用常规护理、路径组采用院前急救护理路径,统计分析两组患者治疗效果。结果 急救前,两组血气指标对比,差异无统计学意义(P>0。05);急救后路径组PaO2、pH及SaO2值高于常规组,PaCO2值低于常规组(P<0。05);院前反应、急救、球囊扩张及住院时间短于常规组(P<0。05);路径组不良事件率低于常规组(P<0。05)。结论 院前急救护理路径可稳定AMI患者的血气、缩短救治时间并避免不良事件发生,值得推崇。
Effect Exploration of Pre Hospital Emergency Nursing Pathway in Rescuing Patients with Acute Myocardial Infarction
Objective To explore the effect of pre hospital emergency nursing pathway for patients with acute myocardial infarction (AMI). Methods The paper chose 128 patients with acute myocardial infarction (AMI) in our center from January 2021 to December 2023,and divided them into the routine group (treated with routine nursing) and the pathway group (with pre hospital emergency nursing pathway) with double-blind method,with 64 cases in each group. Curative effect was compared. Results There was no significant difference in blood gas indicators between two groups before emergency treatment,P>0.05. After emergency treatment,the PaO2,pH,and SaO2 values in the pathway group were higher than the routine group,while the PaCO2 value was lower than the routine group. Time of pre hospital reactions,emergency treatment,balloon dilation,and length of stay was shorter than the routine group. The adverse event rate of the pathway group (3.13%) was lower than the routine group (12.50%),P<0.05. Conclusion The pre hospital emergency nursing pathway can stabilize blood gas of AMI patients,shorten treatment time and avoid adverse events,which is worthy of promotion.

Pre hospital emergency nursing pathwayAcute myocardial infarctionBlood gas indicatorsRescue timeAdverse events

贾娜莎、邱荣

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济南市急救中心,山东 济南 250021

院前急救护理路径 急性心肌梗死 血气指标 救治时间 不良事件

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(27)