目的: 探究介入分层护理路径方案在急性心肌梗死（acute myocardial infarction,AMI）合并心律失常患者介入治疗中的应用价值。方法: 选取2022年1月至2023年2月我院收治的107例AMI合并心律失常患者作为研究对象,采取随机数字表法将其分为对照组和研究组,对照组53例,采用常规护理方案,研究组54例,采用介入分层护理路径方案,比较2组心脏功能指标、心电图参数、生活质量及不良事件发生情况。结果: 干预后,2组左心室射血分数、6 min步行试验距离均升高,且研究组高于对照组;干预后,2组左心室舒张末期内径均降低,且研究组低于对照组。干预后,2组心率、QT离散度均降低,且研究组低于对照组;干预后,2组QT间期均升高,且研究组高于对照组。干预后,2组心肌梗死多维度评估量表各维度评分均降低,且研究组低于对照组。研究组不良事件总发生率低于对照组。结论: 介入分层护理路径方案应用于AMI合并心律失常患者介入治疗中不仅能有效促进患者心功能恢复,改善心电图变异,还能提高患者生活质量,减少不良事件发生。

Objective To explore the application value of interventional stratified nursing pathway regimen in the interventional treatment of patients with acute myocardial infarction (AMI) complicated with arrhythmia. Methods 107 patients with AMI complicated with arrhythmia admitted to our hospital from January 2022 to February 2023 were selected as research subjects, and were divided into control group and study group by the random number table method. The control group (53 cases) adopted routine nursing regimen, and the study group (54 cases) adopted interventional stratified nursing pathway regimen. Cardiac function indicators, electrocardiogram parameters, quality of life and occurrence of adverse events were compared between the two groups. Results After intervention, the left ventricular ejection fraction and 6 min walking test distance in the two groups were increased, and the indicators in study group were higher than those in control group. The left ventricular end-diastolic diameter was decreased in both groups after intervention, and the indicator was lower in study group than that in control group. After intervention, the heart rate and QT dispersion of both groups were declined, and the indicators in study group were lower. After intervention, the QT interval was lengthened in both groups, and the QT interval in study group was longer than that in control group. The scores of dimensions of myocardial infarction dimensional assessment scale were declined in both groups after intervention, and the scores were lower in study group. The total incidence rate of adverse events in study group was lower compared to control group. Conclusion The application of interventional stratified nursing pathway regimen in the interventional treatment of patients with AMI and arrhythmia can not only effectively promote the recovery of cardiac function and improve the variation of electrocardiogram, but also enhance the quality of life and reduce the occurrence of adverse events.