摘要
目的探讨急性心肌梗死合并休克患者应用院前急救护理对预后效果的影响。方法回顾性分析2019年1月—2020年12月收治的80例急性心肌梗死合并休克患者的临床资料,根据是否接受院前急救护理分为观察组(40例)和对照组(40例),比较两组患者的一般情况、血流动力学指标、住院时间、住院费用、住院期间死亡率。结果观察组患者的收缩压、心率、心脏指数、左室射血分数均显著高于对照组(P<0.05),而中心静脉压、肺动脉嵌顿压均显著低于对照组(P<0.05);观察组患者的住院时间、住院费用均显著低于对照组(P<0.05);观察组患者的住院期间死亡率低于对照组(P<0.05)。结论急性心肌梗死合并休克患者应用院前急救护理能够改善血流动力学状态,缩短住院时间,降低住院费用,降低住院期间死亡率和出院后MACE发生率,对预后效果有显著的影响。
Objective To explore effect of pre hospital emergency nursing on prognosis of acute myocardial infarction patients complicated with shock.Methods The paper reviewed and analyzed clinical data of 80 acute myocardial infarction patients complicated with shock from January 2019 to December 2020,and divided them into observation group(40 cases)and control group(40 cases)based on condition of pre hospital emergency care.General condition,hemodynamic indicators,length of stay,hospitalization costs and in-hospital mortality rate were compared between two groups.Results Systolic blood pressure,heart rate,cardiac index and left ventricular ejection fraction of observation group were significantly higher than control group(P<0.05),while central venous pressure and pulmonary artery occlusion pressure was significantly lower than control group(P<0.05).Length of stay and hospitalization costs of observation group were significantly lower than control group(P<0.05).Mortality rate in observation group was lower than control group,(P<0.05).Conclusion Pre hospital emergency nursing can improve hemodynamic status,shorten length of stay,reduce hospitalization costs,decrease in-hospital mortality and post discharge MACE incidence of patients with acute myocardial infarction complicated with shock,which has significant effect on prognosis.
作者
邱荣
贾娜莎
刘玲
QIU Rong;JIA Na Sha;LIU Ling(Jinan City Emergency Center,Jinan,Shandong 250021)
出处
《智慧健康》
2024年第23期192-194,共3页
Smart Healthcare
关键词
急性心肌梗死
心源性休克
院前急救护理
预后
Acute myocardial infarction
Cardiogenic shock
Pre hospital emergency nursing
Prognosis
作者简介
邱荣(1983-),女,汉族,山东济南,本科,主管护师,研究方向:院前急救护理。
