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目的分析优化急诊护理流程对急诊肺血栓栓塞救治效果的影响。方法以我院2013年1月~2014年12月收治的50例急性肺血栓栓塞患者为研究组,对其行优化就诊护理流程急救,选择2011年1月~2012年12月采取常规护理流程50例患者为对照组,比较两组急诊时间、救治成功率、并发症及救治前后血气指标。结果研究组救治成功率、并发症发生率分别为98.0%、0.0%,较对照组的80.0%、8.0%差异有统计学意义(P<0.05)。研究组接诊时间、分诊时间、心电监护时间分别为(16.4±3.1)min、(0.6±0.3)min、(4.2±1.3)min,显著短于对照组的(25.5±5.5)min、(2.3±1.1)min、(5.7±2.1)min,差异有统计学意义(P<0.01)。研究组救治后PaO2明显高于对照组,PaCO2、P(A-a)O2明显低于对照组,差异有统计学意义(P<0.01)。结论优化急诊护理流程能明显缩短就诊时间,提高急性肺血栓栓塞救治成功率,降低并发症发生率。
Objective To analyze the influence of emergency nursing process on emergency treatment of pulmonary thromboembolism. Methods A total of 50 cases of acute pulmonary thromboembolism admitted from January 2013 to December 2014 in our hospital were selected as the study group. The first-aid and first-aid procedures were performed to optimize the nursing procedure. From January 2011 to December 2012, the routine nursing process Cases of patients as control group, compared two groups of emergency time, treatment success rate, complications and blood gas indicators before and after treatment. Results The success rates of treatment and complication in the study group were 98.0% and 0.0%, respectively, which were significantly different from those in the control group (80.0% and 8.0%, P <0.05). The time of consultation, triage and ECG monitoring were (16.4 ± 3.1) min, (0.6 ± 0.3) min and (4.2 ± 1.3) min in the study group, which were significantly shorter than those in the control group (25.5 ± 5.5) min, (2.3 ± 1.1) min, (5.7 ± 2.1) min, the difference was statistically significant (P <0.01). PaO2 in the study group was significantly higher than that in the control group, PaCO2, P (A-a) O2 was significantly lower than the control group, the difference was statistically significant (P <0.01). Conclusion Optimization of emergency nursing process can significantly shorten the treatment time, improve the success rate of acute pulmonary embolism and reduce the incidence of complications.