【摘要】 目的：构建标准化的急性心肌梗死患者院前分级转运方案，评价其效果，为急性心肌梗死患者院前安全转运提供依据。方法：方便抽样的方法，选取2018年10月至2020年1月的136例急性心肌梗死患者为研究对象，根据转诊时间分组分为观察组和对照组，各68例，对照组患者采用常规护理方案，观察组患者采用构建的标准化急性心肌梗死患者院前分级转运方案，包括：成立院前安全转运研究小组，通过文献检索和半结构式访谈，经专家论证后形成最终方案，对急性心肌梗死患者在入院前形成标准化的分级转移方案，比较两组的不良事件发生率、并发症和D-to-B时间标准率。结果：观察组院前转运成功率明显高于对照组，急性心肌梗死并发症的发生率低于对照组，进入球囊（D-to-B）时间标准率明显高于对照组（P<0.05）。结论：标准化的院前分级转运方案对急性心肌梗死患者的院前安全转运具有重要意义，可降低在转运过程中并发症发生，有效缩短急性心肌梗死的诊断和再灌注时间，降低患者死亡率，提高转运安全性。更多还原

【Abstract】 Objective: To construct a standardized pre-hospital graded transport scheme for patients with acute myocardial infarction,evaluate its effect, and provide a basis for safe pre-hospital transport of patients with acute myocardial infarction. Methods: A convenient sampling method was used to select 136 patients with acute myocardial infarction from October 2018 to January 2020 as the research objects. According to the time of referral, they were divided into observation group and control group, with 68 cases in each group. The patients in the control group received routine nursing care. The patients in the observation group adopted the constructed standardized pre-hospital graded transport scheme for patients with acute myocardial infarction, including: setting up a pre-hospital safe transport research group, through literature search and semi-structured interviews, and forming a final plan after expert argumentation. A standardized graded transfer protocol was formed before admission, and the incidence of adverse events, complications, and D-to-B time standard rates were compared between the two groups. Results: The success rate of prehospital transport in the observation group was significantly higher than that in the control group, the incidence of acute myocardial infarction complications was lower than that in the control group, and the standard rate of time to enter the balloon(D-to-B) was significantly higher than that in the control group(P<0.05).Conclusion: The standardized pre-hospital graded transport scheme is of great significance for the safe pre-hospital transport of patients with acute myocardial infarction, which can reduce the occurrence of complications during the transport process, effectively shorten the diagnosis and reperfusion time of acute myocardial infarction, reduce patient mortality, and improve transshipment security.更多还原