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目的:探讨急性主动脉夹层(AAD)早期诊断与救治流程中的护理策略。方法:分析江阴市人民医院2010年1月至2014年12月收治的56例急性主动脉夹层患者的临床资料,将其分为传统组和协定流程组,比较两组患者急诊滞留时间及急诊救治有效率的差异。结果:协定流程组患者急诊滞留时间明显短于传统组(1.53±0.61 vs 2.56±0.73)h,差异具有统计学意义(P<0.01)。协定流程组急诊救治有效率92.31%(24/26)高于传统组66.67%(20/30),差异具有统计学意义(P<0.05)。结论:制定多科协作诊治流程,应用早预警、早诊断、有效处理的护理策略,能提高救治AAD的时效性。
Objective: To explore the nursing strategies in the early diagnosis and treatment of acute aortic dissection (AAD). Methods: The clinical data of 56 cases of acute aortic dissection patients who were treated in Jiangyin People’s Hospital from January 2010 to December 2014 were analyzed. They were divided into traditional group and protocol flow group. The emergency residence time and emergency treatment were compared between the two groups Efficient differences. Results: The duration of emergency stay in protocol group was significantly shorter than that in the conventional group (1.53 ± 0.61 vs 2.56 ± 0.73) h, with statistical significance (P <0.01). The effective rate of emergency treatment in the protocol group was 92.31% (24/26), which was significantly higher than 66.67% (20/30) in the traditional group (P <0.05). Conclusion: The development of multidisciplinary diagnosis and treatment procedures, the application of early warning, early diagnosis and effective treatment of nursing strategies, can improve the timeliness of AAD treatment.