目的：探讨急救护理干预优化措施在急性左心衰患者急救中的临床效果及临床意义。方法选取2009年5月~2010年11月期间在海南省儋州市农垦那大医院收治的84例急性左心衰患者，将其分为两组，对照组(A组)42例，给予常规急性左心衰急救护理；优化组(B组)42例，给予优化后的左心衰急救护理，记录两组患者的救治成功率，并在患者出院6个月后以日常生活活动能力(ADL)为标准，评定两种护理方法在急性左心衰患者中的作用。结果B组疾病知晓率为97.6%，依从性为88.1%，两项指标均高于A组(83.3%、61.9%)，差异均有统计学意义(均P<0.05)；A组患者救治成功率为88.1%，B组患者救治成功率为97.6%，B组患者救治成功率显著高于A组，差异有统计学意义(P<0.05)；B组ADL评分平均为(59.1±3.2)分，显著高于A组[(47.3±3.6)分]，差异有统计学意义(P<0.05)。结论优化后的急性左心衰急救护理措施相比于常规急救护理能有效提高对患者的救治成功率，同时也可以提高患者出院后的日常生活能力。%Objective To investigate the effect and significance of optimizing clinical interventions in emergency care of acute left heart failure patients. Methods In the period from May 2009 to November 2010 in Farming Nada Hospital of Danzhou City, a total of 84 patients with acute left heart failure were randomly divided into two groups, the control group (group A) was received conventional acute left heart failure emergency care, the optimal group (group B) was giv-en the optimized left heart failure emergency nursing. Treatment success rate of patients of two groups was recorded. Effect of two nursing methods in patients with acute left ventricular failure was evaluated with activities of daily life (ADL) out of school after 6 months ability for standard. Results The disease witting rate and compliance in group B were 97.6%and 88.1%, two indicators were higher than those in group A (83.3%, 61.9%), the differences had statisti-cal significances (all P< 0.05). The success rates were 88.1% in group A and 97.6% in group B, the success rate of group B was significantly higher than that of group A, with statistically significant difference (P < 0.05). ADL was (47.3±3.6) scores in group B, which was higher than that in group A [(59.1+3.2) scores], the difference was statistically significant (P<0.05). Conclusion The emergency nursing of acute left heart failure after optimization can improve the success rate of treatment of patients, and is better than conventional first aid nursing, and it can also improve the abili-ty of daily life of patients after discharge.
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