Clinical analysis of acute coronary syndrome patients undergoing graded nursing guided by the emergency critical severity scoring system
以急诊危重度评分系统指导的分级护理对急性冠脉综合征患者的临床分析

摘要

目的 探讨急诊危重度评分系统指导的分级护理对急性冠脉综合征（Acute Coronary Syndrome, ACS）患者的临床分析。方法 随机数字表法将60例（2025年1月-2025年12月）ACS患者分为2组（观察组/对照组，急诊危重度评分系统指导的分级护理/常规护理，30例/30例）。对比两组患者心功能、生存质量、并发症。结果室间隔厚度IVST（Interventricular Septal Thickness）、左心室舒张末期内径（Left Ventricular Diastolic Diameter, LVDD）及左心室收缩末期内径LVSD（Left Ventricular Systolic diameter,）对比，护理前P>0.05，护理后均降低且观察组更低（P<0.05）。世界卫生组织生存质量量表WHO-QOL（World Health Organization Quality of Life assessment instrument）对比，护理前P>0.05，护理后均提高且观察组更高（P<0.05）。观察组4项并发症占比更低（3.33%VS20.00%）（P<0.05）。结论 观察组护理方法有助于进一步改善ACS患者的心脏功能，其生存质量进一步提升，并发症有所减少，值得推广。

Abstract

Objective To explore the clinical analysis of graded nursing guided by the emergency critical severity scoring system for patients with acute coronary syndrome (ACS).
Methods 60 patients (from 2025.1 to 2025.12) with ACS were randomly divided into 2 groups (observation group/ control group, graded nursing guided by the emergency critical severity scoring system/ routine nursing, 30 cases/30 cases). The cardiac function, quality of life, and complications of the two groups were compared.
Results For IVST, LVDD, and LVSD, P>0.05 before nursing, and all decreased after nursing, with the observation group having lower values (P<0.05). For WHO-QOL, P>0.05 before nursing, and all improved after nursing, with the observation group having higher scores (P<0.05). The proportion of complications in the observation group was lower (3.33% VS 20.00%) (P<0.05).
Conclusion   The nursing method in the observation group helps to further improve the cardiac function of ACS patients, further enhance their quality of life, and reduce complications. It is worthy of promotion.