临床护理路径在心肌梗死致心力衰竭急救过程中应用价值研究.docVIP

临床护理路径在心肌梗死致心力衰竭急救过程中应用价值研究 　　[摘要] 目的 研究临床护理路径在心肌梗死致心力衰竭急救过程中的应用价值。方法 将我院急诊收治的心肌梗死致心力衰竭患者纳入研究，随机分为按照临床护理路径给予干预措施的观察组和按照常规方法给予干预措施的对照组，观察急诊效率指标、心功能指标。结果 观察组患者就诊至接受溶栓治疗时间、治疗前的心肌酶谱指标LDH、AST、CK、CK-MB均低于对照组，治疗后的心功能指标E峰值、E/A比值、左心室舒张末期直径、左心室射血分数均高于对照组。结论 临床护理路径有助于提高急救效率、改善心功能，在心肌梗死致心力衰竭急救过程中具有积极价值。 　　[关键词] 心肌梗死；心理衰竭；护理路径；心功能 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 2095-0616（2013）22-122-02 　　Study of application value of clinical nursing pathway in first aid process of myocardial infarction induced heart failure 　　LIU Chunhong 　　Department of Emergency， Huangpu District Hospital of Traditional Chinese Medicine， Guangzhou 510700，China 　　[Abstract] Objective To study the application value of clinical nursing pathway in the first aid process of myocardial infarction induced heart failure. Methods The patients with myocardial infarction induced heart failure who were treated in the emergency department of our hospital were selected and randomly assigned to the observation group given intervention measures based on clinical nursing pathway and the control group given intervention measures based on conventional method. The emergency efficiency indicators and cardiac function indicators were observed. Results The observation group was lower than the control group in the admission-to-thrombolytic treatment time and the pretreatment myocardial zymogram indicators such as LDH， AST， CK and CK-MB， but was higher than the control group in the posttreatment cardiac function such as E peak， E/A ratio， left ventricular end-diastolic diameter and left ventricular ejection fraction. Conclusion Clinical nursing pathway is conducive to improving first aid efficiency and improving cardiac function， which is of positive value in the first aid process of myocardial infarction induced heart failure. 　　[Key words] Myocardial infarction； Cardiac failure； Nursing pathway； Cardiac function 　　心肌梗死是临床常见的急症，是在冠脉狭窄、心肌缺血的基础上发生的一类疾病。心肌发生缺血性损害可导致心力衰竭的发生。目前，溶栓治疗和介入治疗是心肌梗死主要的两类治疗方式，而影响治疗效果和疾病预后的关键因素是急诊治疗的时间窗。心肌梗死发生