急诊科心肌梗死抢救护理流程模式改进及对hs―CRPIL―6影响.docVIP

急诊科心肌梗死抢救护理流程模式改进及对hs―CRPIL―6影响 　　【摘要】 目的：探讨心肌梗死患者实施改进抢救护理流程的效果，以及对hs-CRP、IL-6指标的影响。方法：选取2015年1月-2016年6月本院收治的心肌梗死患者72例，将其分成对照组和试验组，各36例。对照组采用常规抢救护理流程，试验组采用改进抢救护理流程，比较两组的急诊抢救时间、血清学指标（hs-CRP、IL-6）及并发症发生情况。结果：试验组抢救时间、溶栓或介入时间均短于对照组，差异均有统计学意义（P0.05）。结论：急诊心肌梗死患者实施改进抢救护理流程的效果突出，能缩短抢救时间、改善生化指标，减少并发症，值得推广。 　　【关键词】 心肌梗死； 抢救护理流程； hs-CRP； IL-6 　　Improvement of Nursing Care Flow Pattern in Emergency Department of Myocardial Infarction and Its Effect on hs-CRP and IL-6/WANG Xun-wen.//Medical Innovation of China，2017，14（27）：085-088 　　【Abstract】 Objective：To investigate the effect of patients with myocardial infarction in improving the rescue nursing process and the effect on hs-CRP and IL-6.Method：72 cases of myocardial infarction from January 2015 to June 2016 in our hospital as the research objects，they were divided into the control group and the experimental group，36 cases in each group.The control group adopted the routine rescue nursing process and the experimental group adopted the improvement rescue nursing process，the emergency rescue time，the hematology index（hs-CRP，IL-6） and the complications of the two groups were compared.Result：The rescue time，thrombolysis or intervention time of the experimental group were shorter than those of the control group，the differences were statistically significant（P0.05）.Conclusion：The effect of improving the rescue nursing process in emergency myocardial infarction patients can shorten the rescue time，improve the biochemical indexes and reduce the complications，and it is worth of popularizing. 　　【Key words】 Myocardial infarction； Rescue nursing process； hs-CRP； IL-6 　　First-author’s address：Xiangyang No.1 People’s Hospital Affiliated to Hubei University of Medicine，Xiangyang 441000，China 　　doi：10.3969/j.issn.1674-4985.2017.27.024 　　急性心肌梗死在急?\科比较常见，中老年人是高发群体。研究证明，急性心肌梗死患者死亡率较高，该类患者在到达医院前死亡占60%以上[1-2]，因此，如何缩短抢救时间，为溶栓或介入治疗争取时间，是提高救治成功率的关键[3]。抢救护理工作贯穿在整个抢救流程，是患者成功救治的重要环节。基于此，笔者选取本院心肌梗死患者72例进行研究，探讨了改进抢救护理流程的应用效果，分析了对患者hs-CRP、IL-6水平造成的