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目的 探讨优化急诊护理流程在急性心肌梗死(acute myocardial infarction,AMI)患者抢救中的临床应用效果.方法 整取抽样2015年1月-2016年2月首都医科大学附属北京朝阳医院急诊科抢救的急性心肌梗死患者128例,按随机数字表法分为2组,对照组64例,按常规急诊护理流程进行护理;观察组64例,按优化急诊护理流程进行护理,比较两组治疗效果、院内AMI复发率及再进行冠状动脉介入术(percutaneous coronary intervention,PCI)发生情况,同时采用问卷调查的形式,比较两组护理满意度.结果 与对照组比较,观察组在急诊球囊扩张处理方面所耗费时间,进出急诊室所需时间明显缩短,院内AMI复发率、再PIC发生率降低,且护理满意度明显升高(P0.05).结论 在急性心肌梗死抢救中,按优化急诊护理流程进行相关护理工作的开展,能缩短抢救时间,降低院内AMI复发及再PCI术治疗情况,同时能提高护理质量.“,”Objective To investigate the clinical effect of emergency nursing process in the treatment of patients with acute myocardial infarction (AMI). Methods 128 patients with acute myocardial infarction in the whole sampling in January 2015-2016 year in February in our hospital emergency department were randomly divided into 2 groups,64 patients in control group were given routine care, emergency care process, the observation group of 64 cases, the emergency nursing care according to the optimization process,compared with two groups out of the emergency room time,emergency balloon time,hospitalization time,hospital and the recurrence rate of AMI and percutaneous coronary intervention (PCI) occurred at the same time, in the form of a questionnaire, compared two groups of nursing satisfaction.Results the observation group import time,emergency rescue time is shorter than the control group(P0.05); the observation group of the recurrence rate of AMI,PIC were lower than the control group(P<0.05);the satisfaction rate of the observation group higher than the control group(P<0.05).Conclusion in patients with acute myocardial infarction and related nursing work according to the optimization of emergency nursing process to carry out,can shorten the rescue time,reduce the hospital and recurrence of AMI and PCI treatment,and can improve the quality of nursing.