A study of acute myocardial infarction in in-hospital emergency care
降阶梯思维院内急救护理急性心梗的研究

摘要

目的 围绕降阶梯思维在院内急救护理急性心肌梗死中的应用展开探讨。方法 本研究选择本院急诊科接受的急性心肌梗死110例患者研究对象，依据简单随机化法将患者分为对照组55例和研究组55例，对照组应用常规护理，研究组应用降阶梯思维院内急救护理，对比两组患者的护理效果。结果 与对照组相比，研究组抢救成功率显著提升，且经三个月随访发现，研究组不良结局发生率与复发率均显著更低；研究组的抢救时长、住院时长及溶栓时长均呈现出显著缩短的趋势。差异有统计学意义（P＜0.05）。结论 降阶梯思维院内急救护理应用于急性心肌梗死中，可提升抢救成功率、缩短患者抢救及住院时长，对改善患者预后具有重要意义。

Abstract

Objective This paper discusses the application of de-escalation thinking in acute myocardial infarction in in-hospital emergency care.
Methods In this study, 110 patients with acute myocardial infarction who received acute myocardial infarction in the emergency department of our hospital were selected and divided into control group (55 cases) and study group (55 cases) according to the simple randomization method.
Results Compared with the control group, the success rate of rescue in the study group was significantly improved, and the incidence of adverse outcomes and recurrence in the study group were significantly lower after three months of follow-up. The duration of rescue, hospitalization and thrombolysis in the study group showed a significant shortening trend. The difference was statistically significant (P<0.05).
Conclusion   The application of down-ladder thinking in-hospital emergency nursing in acute myocardial infarction can improve the success rate of rescue and shorten the duration of rescue and hospitalization, which is of great significance for improving the prognosis of patients.