中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
10期
9-10
,共2页
临床路径%急性心肌梗死%溶栓
臨床路徑%急性心肌梗死%溶栓
림상로경%급성심기경사%용전
Clinical pathway%Acute myocardial infarction%Thrombolytic therapy
目的 观察临床路径在急性心肌梗死患者溶栓治疗中的应用效果.方法 将2005年1月至2006年12月收治的149例急性心肌梗死患者,采用匹配对照方法分为对照组72例、实验组77例,对照组入院后按常规急救措施处理,实验组应用临床路径对患者进行急救护理.观察两组患者入院至溶栓治疗时间、治疗成功率、出血并发症发生率等指标.结果实验组患者入院至溶栓治疗时间较对照组明显缩短,入院至溶栓治疗时间从66 min缩短至23 min;尿激酶溶栓成功率由44.4%提高到62.3%,两组比较差异有统计学意义(P均＜0.05).结论临床路径在急性心肌梗死患者中的应用可提高治疗成功率,缩短溶栓治疗时间,从而提高了工作效率及护理质量.
目的 觀察臨床路徑在急性心肌梗死患者溶栓治療中的應用效果.方法 將2005年1月至2006年12月收治的149例急性心肌梗死患者,採用匹配對照方法分為對照組72例、實驗組77例,對照組入院後按常規急救措施處理,實驗組應用臨床路徑對患者進行急救護理.觀察兩組患者入院至溶栓治療時間、治療成功率、齣血併髮癥髮生率等指標.結果實驗組患者入院至溶栓治療時間較對照組明顯縮短,入院至溶栓治療時間從66 min縮短至23 min;尿激酶溶栓成功率由44.4%提高到62.3%,兩組比較差異有統計學意義(P均＜0.05).結論臨床路徑在急性心肌梗死患者中的應用可提高治療成功率,縮短溶栓治療時間,從而提高瞭工作效率及護理質量.
목적 관찰림상로경재급성심기경사환자용전치료중적응용효과.방법 장2005년1월지2006년12월수치적149례급성심기경사환자,채용필배대조방법분위대조조72례、실험조77례,대조조입원후안상규급구조시처리,실험조응용림상로경대환자진행급구호리.관찰량조환자입원지용전치료시간、치료성공솔、출혈병발증발생솔등지표.결과실험조환자입원지용전치료시간교대조조명현축단,입원지용전치료시간종66 min축단지23 min;뇨격매용전성공솔유44.4%제고도62.3%,량조비교차이유통계학의의(P균＜0.05).결론림상로경재급성심기경사환자중적응용가제고치료성공솔,축단용전치료시간,종이제고료공작효솔급호리질량.
Objective To investigate the effect of clinical pathway in the thrombolytic therapy of acute myocardial infarction (AMI). Methods One hundred and forty-nine AMI patients in our hospital from January 2005 to December 2006,with matching control method were divided into control group (72 cases) and experimental group (77 cases).The regular emergency nursing process was used on the control group and the clinical nursing pathway was used on the experimental group. Door-to-needle time, success rate and major bleeding rate were observed before and after use of clinical nursing pathway.Results After use of clinical nursing pathway, door to needle time was reduced from 66 min to 23 min. Success rate of thrombolytic therapy increased from 44.4% to 62.3% (P all＜0.05). Conclusions Clinical nursing pathway may improve nursing care quality for AMI, reduce the door-to-needle time and improve the labor efficiency and nursing quality.
