CAJ | 학술논문

　　目的探讨循证护理（evidence-based nursing，EBN）在急性心肌梗死患者早期行尿激酶溶栓治疗中的应用效果。方法采用随机数字表法，将138例急性心肌梗死患者分为观察组与对照组，每组各69例。对照组采用常规护理，观察组采用EBN。比较两组患者溶栓再通率、病死率和并发症发生率等指标的差异。结果观察组患者溶栓再通率、病死率和并发症发生率均低于对照组，两组比较，均P＜0.05，差异具有统计学意义。结论对早期采用尿激酶溶栓治疗的急性心肌梗死患者实施EBN，对预防心绞痛等并发症的发生，降低溶栓再通率、病死率具有重要的意义。
　　목적탐토순증호리（evidence-based nursing，EBN）재급성심기경사환자조기행뇨격매용전치료중적응용효과。방법채용수궤수자표법，장138례급성심기경사환자분위관찰조여대조조，매조각69례。대조조채용상규호리，관찰조채용EBN。비교량조환자용전재통솔、병사솔화병발증발생솔등지표적차이。결과관찰조환자용전재통솔、병사솔화병발증발생솔균저우대조조，량조비교，균P＜0.05，차이구유통계학의의。결론대조기채용뇨격매용전치료적급성심기경사환자실시EBN，대예방심교통등병발증적발생，강저용전재통솔、병사솔구유중요적의의。
Objective To study the effect of the evidence-based nursing in the treatment of acute myocardial infarction by the early thrombolytic therapy with urokinase.Method 138 patients with acute myocardial infarction were randomly divided into the observation group and control group in equal number: the former received the evidence-based nursing and the latter conventional nursing care.The two groups were compared in terms of recanalization rate,fatality and incidence of angina.Result The recanalization rate,fatality and incidence of angina in the observation group were all significantly lower than those in the control group(all P<0.05).Conclusion The evidence-based nursing used to nurse the acute myocardial infarction patient to be treated by is cared by early thrombolytic therapy with urokinase may prevent such complications as angina and reduce recanalization rate and fatality.