以循证理论优化的手术室干预流程对急性心肌梗死介入术患者的影响

doi:10.3969/j.issn.1671-7171.2026.05.021

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摘要 【目的】探讨以循证理论优化的手术室干预流程对急性心肌梗死(AMI)介入术患者的影响。【方法】84例AMI患者,随机分为观察组和对照组,每组42例。对照组接受常规干预,观察组在对照组基础上应用循证理论优化的干预流程。比较两组干预前后的心电图参数[心率(HR)、QT间期(QTc)、QT离散度(QTd)]、心肌损伤标志物[心肌肌钙蛋白I(cTnI)、N-末端脑钠肽前体(NT-proBNP)]水平、生活质量[心肌梗死多维度评估量表(MIDAS)评分],护理缺陷和不良事件发生情况。【结果】干预后,观察组HR、QTd低于对照组,QTc高于对照组(P<0.05);观察组cTnI、NT-proBNP水平低于对照组(P<0.05);观察组MIDAS各项评分低于对照组(P<0.05);观察组护理缺陷及不良事件总发生率均低于对照组(P<0.05)。【结论】应用循证理论优化的手术室干预流程能显著改善AMI患者的心电图参数和心肌损伤程度,提高生活质量,减少护理缺陷和不良事件的发生。

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	石立华
	董慧
	杨莉莉

关键词 ：心肌梗死, 急性病, 经皮冠状动脉介入治疗, 手术室护理

Abstract：【Objective】 To investigate the effects of an operating room intervention process optimized by evidence-based theory on patients with acute myocardial infarction (AMI) undergoing interventional therapy. 【Methods】 A total of 84 patients with AMI were randomly divided into an observation group and a control group, with 42 patients in each group. The control group received routine interventions, while the observation group received an evidence-based optimized intervention process in addition to routine care. Electrocardiographic parameters [heart rate (HR), QT interval (QTc), and QT dispersion (QTd)], myocardial injury markers [cardiac troponin I (cTnI) and N-terminal pro-brain natriuretic peptide (NT-proBNP)], quality of life [Myocardial Infarction Dimensional Assessment Scale (MIDAS) scores], as well as the incidence of nursing defects and adverse events were compared between the two groups before and after the intervention. 【Results】 After the intervention, HR and QTd in the observation group were significantly lower than those in the control group, while QTc in the observation group was significantly higher than that in the control group (P<0.05). Levels of cTnI and NT-proBNP in the observation group were significantly lower than those in the control group (P<0.05). MIDAS scores in the observation group were significantly lower than those in the control group (P<0.05). In addition, the overall incidence of nursing defects and adverse events in the observation group was significantly lower than that in the control group (P<0.05). 【Conclusion】 Application of an operating room intervention process optimized by evidence-based theory can significantly improve electrocardiographic parameters and reduce myocardial injury in patients with AMI undergoing interventional therapy, enhance quality of life, and decrease the incidence of nursing defects and adverse events.

Key words： Myocardial Infarction Acute Disease Percutaneous Coronary Intervention Operating Room Nursing

收稿日期: 2025-03-20

中图分类号:

R542.22

引用本文:

石立华, 董慧, 杨莉莉. 以循证理论优化的手术室干预流程对急性心肌梗死介入术患者的影响[J]. 医学临床研究, 2026, 43(5): 780-783.
SHI Lihua, DONG Hui, YANG Lili. Effects of an Evidence-Based Optimized Operating Room Intervention Process on Patients with Acute Myocardial Infarction Undergoing Interventional Therapy. JOURNAL OF CLINICAL RESEARCH, 2026, 43(5): 780-783.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2026.05.021 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2026/V43/I5/780

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