广州医药 ›› 2025, Vol. 56 ›› Issue (12): 1677-1683.DOI: 10.20223/j.cnki.1000-8535.2025.12.009

• 论著 • 上一篇    下一篇

基于思维导图的绿色通道急救干预对急性心梗患者介入治疗的效果

任小芳, 高媛媛, 王媛媛, 翟小璐, 李新元   

  1. 天津市人民医院/南开大学第一附属医院急诊科(天津 300121)
  • 收稿日期:2025-01-21 出版日期:2025-12-20 发布日期:2026-01-20

The effect of green channel emergency nursing based on mind mapping on PCI of acute myocardial infarction patients

REN Xiaofang, GAO Yuanyuan, WANG Yuanyuan, ZHAI Xiaolu, LI Xinyuan   

  1. Department of Emergency,Tianjin Union Medical Center,the First Affiliated Hospital of Nankai University,Tianjin 300121,China
  • Received:2025-01-21 Online:2025-12-20 Published:2026-01-20

摘要: 目的 探讨基于思维导图的绿色通道急救干预对急性心肌梗死患者介入治疗的效果。方法 对天津市人民医院2022年1月—2024年12月收治的80例AMI患者进行研究,依照收治时间进行分组,将2022年1月—2023年6月采取常规急救流程干预的40例患者分为常规组,将2023年7月—2024年12月的采取基于思维导图的绿色通道急救干预的40例患者分为思维导图组。比较两组患者急救效率、急救前后生命体征(心率、舒张压、收缩压)、心肌损伤指标[磷酸肌酸激酶(CK-MB)及肌钙蛋白Ⅰ(cTnI)],最后比较两组患者干预满意度。结果 对比急救效率发现,思维导图组的预检时间、会诊时间、导管室激活时间、急诊送至PCI手术时间均短于常规组(P<0.05);对比急救前后生命体征发现,与急救前对比,急救后两组的心率、舒张压、收缩压均降低(P<0.05),急救前后两组心率、舒张压、收缩压比较差异无统计学意义(P>0.05);对比急救前后心肌损伤指标发现,急救前两组CK-MB、cTnI比较差异无统计学意义(P>0.05),急救后,思维导图组CK-MB、cTnI低于常规组与急救前(P<0.05);对比干预满意度发现,思维导图组干预满意度为100.00%,高于常规组的85.00%(P<0.05)。结论 基于思维导图的绿色通道急救干预可提升AMI患者的急救效率,稳定患者生命体征,减轻心肌损伤的同时,提升患者干预满意度。

关键词: 思维导图, 绿色通道急救干预, 急性心肌梗死, 介入治疗, 急救效率

Abstract: Objective To explore the effect of green channel emergency nursing based on mind mapping on percutaneous coronary intervention(PCI) of patients with acute myocardial infarction(AMI).Methods A study was conducted on 80 AMI patients admitted to Tianjin People's Hospital from January 2022 to December 2024.The patients were divided into two groups based on their admission time.The 40 patients who received routine emergency nursing interventions from January 2021 to June 2023 were assigned to the conventional group,while the 40 patients who received green channel emergency nursing based on mind mapping from July 2023 to November 2024 were assigned to the mind mapping group.The emergency treatment efficacy,vital signs(heart rate,diastolic blood pressure,systolic blood pressure),myocardial injury indicators(phosphocreatine kinase[CK-MB],and troponin I[cTn1])between two groups of patients before and after emergency treatment were compared.Results The pre-examination time,consultation time,catheterization room activation time and emergency room to PCI operation time of mind mapping group were all shorter than those of conventional group(P<0.05).Compared with the vital signs before and after emergency treatment,we found that the heart rate,diastolic pressure and systolic blood pressure of the two groups decreased after emergency treatment(P<0.05),and there was no significant difference between the heart rate,diastolic pressure and systolic blood pressure of the two groups before and after emergency treatment(P>0.05).Comparing the myocardial injury indicators before and after emergency treatment,there was no significant difference in CK-MB and cTn1 between the two groups before emergency treatment(P>0.05).After emergency treatment,CK-MB and cTn1 in the mind map group were lower than those in the conventional group and before emergency treatment(P<0.05).Comparing the intervention satisfaction,it was found that the mind mapping group of 100.00% was higher than the conventional group of 85.00%(P<0.05).Conclusions Green channel emergency nursing based on mind mapping can improve the efficiency of emergency treatment for AMI patients,stabilize their vital signs,reduce myocardial injury,improve patient intervention satisfaction.

Key words: mind mapping, green channel emergency intervention, acute myocardial infarction, interventional therapy, emergency treatment efficiency