院前急救联合绿色通道模式在行PCI术急性心肌梗死患者中的应用
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摘要
目的:研究院前急救联合绿色通道模式在行经皮冠状动脉介入治疗(PCI)术的急性心肌梗死患者中的应用效果。方法:选取2016年7月至2018年7月云南省玉溪市人民医院急诊收治的急性心肌梗死患者100例,按照随机数字表法分成对照组和观察组,每组50例。其中对照组予以常规急诊模式行PCI术治疗,观察组予以院前急救与绿色通道联合模式行PCI术治疗。比较两组患者的确诊时间、心肌再灌注治疗时间以及住院时间、治疗有效率、治疗满意度以及并发症发生情况。结果:观察组确诊时间、心肌再灌注治疗时间以及住院时间均较对照组明显缩短(均P<0.05)。观察组治疗总有效率为98.00%,显著高于对照组的82.00%(P<0.05)。观察组治疗满意率为98.00%,显著高于对照组的64.00%(P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:院前急救与绿色通道联合模式能够有效缩短行PCI术急性心肌梗死患者的救治时间,提高治疗效果及患者满意度。
Objective:To study the effect of pre-hospital first aid combined with green channel mode application in patients with acute myocardial infarction who received percutaneous coronary intervention(PCI).Methods:From July 2016 to July 2018,100 patients with acute myocardial infarction who underwent PCI in our hospital were selected,and randomly divided into a control group and an observation group,with 50 cases in each group.Patients in the control group received conventional emergency treatment,and those in the observation group received pre-hospital first aid combined with green channel mode.After treatment,the rescue time,rescue success rate,treatment satisfaction rate and the incidence of adverse reactions were compared between the two groups.Results:The diagnosis time,myocardial reperfusion treatment time and hospital days in the observation group were significantly shorter than those in the control group(P<0.05).The effective rate of the observation group was 98.00%,which was significantly higher than that of the control group(82.00%)(P<0.05).The treatment satisfaction rate of the observation group was 98.00%,which was significantly higher than that of the control group(64.00%)(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The combination of pre-hospital first aid and green channel for the treatment of acute myocardial infarction could effectively shorten the treatment time,enhance the curative effect,and improve the satisfaction of patients.
Objective:To study the effect of pre-hospital first aid combined with green channel mode application in patients with acute myocardial infarction who received percutaneous coronary intervention(PCI).Methods:From July 2016 to July 2018,100 patients with acute myocardial infarction who underwent PCI in our hospital were selected,and randomly divided into a control group and an observation group,with 50 cases in each group.Patients in the control group received conventional emergency treatment,and those in the observation group received pre-hospital first aid combined with green channel mode.After treatment,the rescue time,rescue success rate,treatment satisfaction rate and the incidence of adverse reactions were compared between the two groups.Results:The diagnosis time,myocardial reperfusion treatment time and hospital days in the observation group were significantly shorter than those in the control group(P<0.05).The effective rate of the observation group was 98.00%,which was significantly higher than that of the control group(82.00%)(P<0.05).The treatment satisfaction rate of the observation group was 98.00%,which was significantly higher than that of the control group(64.00%)(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The combination of pre-hospital first aid and green channel for the treatment of acute myocardial infarction could effectively shorten the treatment time,enhance the curative effect,and improve the satisfaction of patients.
引文
[1]武国涛.临床护理路径在急性心肌梗死病人急诊PCI绿色通道中的应用效果[J].护理研究,2017,31(21):2681-2683.
[2]饶捍卫,钟泽,周燕,等.急性心肌梗死患者治疗延误影响因素及对策探讨[J].中国医药导报,2018,15(5):117-121,126.
[3]AMBAVANE A,LINDAHL B,GIANNITSIS E,et al.Economic evaluation of the one-hourrule-out and rulein algorithm for acute myocardial infarction using the high-sensitivity cardiac troponin T assay in the emergency department[J].PLoS One,2017,12(11):e0187662.
[4]吴雅芳,郭拥军.优化急性心肌梗死绿色通道缩短入门-球囊时间的探讨[J].中国医药导报,2017,14(2):74-77.
[5]胡敏,邵红英.延续性护理对急性心肌梗死患者PCI术后生活质量及心理状态的影响[J].中国医学伦理学,2016,29(2):243-245.
[6]何翠竹,梁欣,曲银玲,等.对急性心肌梗死冠脉介入治疗患者进行延续护理的效果观察[J].中国医药导报,2016,13(1):159-162.
[7]刘菲,王晓岩,姜悦,等.急性心肌梗死院内绿色通道的改进措施[J].中国临床保健杂志,2017,20(6):671-675.
[8]张辉,王茜.瑞舒伐他汀对急性心肌梗死患者PCI术后血管内皮功能和炎性因子水平的影响[J].中国生化药物杂志,2016,36(11):124-126,130.
[9]LIPINSKI M J,MATTU A,BRADY W J.Evolving electrocardiographic indications for emergent reperfusion[J].Cardiol Clin,2018,36(1):13-26.
[10]吴萃荣,王湛.瑞舒伐他汀与阿托伐他汀对急性心肌梗死患者PCI术后左室重构及近期预后影响的比较[J].实用医学杂志,2015,31(3):470-472.
[11]王圣,孙翠芳,廖旺,等.急性心肌梗死患者PCI术中血栓事件不同亚群单核细胞及单核细胞-血小板聚集体的变化[J].细胞与分子免疫学杂志,2017,33(7):959-965.
[12]马云飞,王洪娟,王俊峰,等.急性心肌梗死患者PCI术后的心脏康复现状及进展[J].中国老年学杂志,2017,37(7):1778-1779.
[13]韩秀梅,孙桂芝.院前急救护理并绿色通道对AMI患者抢救效果的影响[J].心血管康复医学杂志,2017,26(5):551-554.
[2]饶捍卫,钟泽,周燕,等.急性心肌梗死患者治疗延误影响因素及对策探讨[J].中国医药导报,2018,15(5):117-121,126.
[3]AMBAVANE A,LINDAHL B,GIANNITSIS E,et al.Economic evaluation of the one-hourrule-out and rulein algorithm for acute myocardial infarction using the high-sensitivity cardiac troponin T assay in the emergency department[J].PLoS One,2017,12(11):e0187662.
[4]吴雅芳,郭拥军.优化急性心肌梗死绿色通道缩短入门-球囊时间的探讨[J].中国医药导报,2017,14(2):74-77.
[5]胡敏,邵红英.延续性护理对急性心肌梗死患者PCI术后生活质量及心理状态的影响[J].中国医学伦理学,2016,29(2):243-245.
[6]何翠竹,梁欣,曲银玲,等.对急性心肌梗死冠脉介入治疗患者进行延续护理的效果观察[J].中国医药导报,2016,13(1):159-162.
[7]刘菲,王晓岩,姜悦,等.急性心肌梗死院内绿色通道的改进措施[J].中国临床保健杂志,2017,20(6):671-675.
[8]张辉,王茜.瑞舒伐他汀对急性心肌梗死患者PCI术后血管内皮功能和炎性因子水平的影响[J].中国生化药物杂志,2016,36(11):124-126,130.
[9]LIPINSKI M J,MATTU A,BRADY W J.Evolving electrocardiographic indications for emergent reperfusion[J].Cardiol Clin,2018,36(1):13-26.
[10]吴萃荣,王湛.瑞舒伐他汀与阿托伐他汀对急性心肌梗死患者PCI术后左室重构及近期预后影响的比较[J].实用医学杂志,2015,31(3):470-472.
[11]王圣,孙翠芳,廖旺,等.急性心肌梗死患者PCI术中血栓事件不同亚群单核细胞及单核细胞-血小板聚集体的变化[J].细胞与分子免疫学杂志,2017,33(7):959-965.
[12]马云飞,王洪娟,王俊峰,等.急性心肌梗死患者PCI术后的心脏康复现状及进展[J].中国老年学杂志,2017,37(7):1778-1779.
[13]韩秀梅,孙桂芝.院前急救护理并绿色通道对AMI患者抢救效果的影响[J].心血管康复医学杂志,2017,26(5):551-554.
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