中华灾害救援医学

目的 探讨对非ST段抬高型心肌梗死（Non-ST-elevation Myocardial Infarction,NSTEMI）患者采取急诊预检分诊的临床价值。方法 回顾性收集2023年2月至2024年2月济南市槐荫区人民医院救治的80例NSTEMI患者病例，根据预检分诊模式的不同，分为观察组（急诊预检分诊模式）和对照组（常规预检分诊模式）。对比急救时间、急救效率以及满意度。结果 观察组心电图完成时间、术前准备时间、球囊扩张时间均比对照组短（P<0.001）。观察组经皮冠状动脉介入治疗（PCI）支架置入成功率为95.00%，显著高于对照组的75.00%(P=0.012)；观察组院内死亡率为2.50%，显著低于对照组的15.00%(P=0.048)。观察组医护人员护理满意度为100.00%，患者及家属护理满意度为97.50%，均显著高于对照组的80.00%和77.50%(P=0.003,0.007)。结论 急诊预检分诊流程的实施可有效缩短急性胸痛NSTEMI患者的急救时间，提高急救效率，改善医护人员和患者的满意度。

Objective To explore the clinical value of emergency pre triage in patients with Non ST elevation myocardial infarction(NSTEMI). Methods A retrospective collection was conducted on 80 NSTEMI patients treated at Huaiyin District People's Hospital in Jinan City from February 2023 to February 2024. According to different pre examination triage modes, they were divided into an observation group(emergency pre examination triage mode) and a control group(routine pre examination triage mode). Comparinge emergency response time, efficiency,and satisfaction. Results The completion time of electrocardiogram, preoperative preparation time, and balloon dilation time in the observation group were all shorter than those in the control group(P<0.001). The success rate of percutaneous coronary intervention(PCI) stent implantation in the observation group was 95.00%, significantly higher than the control group's 75.00 %(P=0.012); The in-hospital mortality rate of the observation group was 2.50 %,significantly lower than the control group's 15.00%(P=0.048). The nursing satisfaction rate of medical staff in the observation group was 100.00%, and the nursing satisfaction rate of patients and their families was 97.50%, both significantly higher than the control group's 80.00% and 77.50%(P=0.003, 0.007). Conclusion The implementation of the emergency pre-triage process can effectively shorten the emergency time for NSTEMI patients with acute chest pain, improve emergency efficiency, and enhance the satisfaction of medical staff and patients.