目的 观察优化急诊护理流程在急性心肌梗死中的应用价值，分析这种护理模式对患者预后的影响。方法 选取我院 收治的急性心肌梗死患者108例，随机分成常规组与优化组各54例，常规组为常规急诊护理，优化组为优化急诊护 理管理，比较两组预后、急诊抢救时间、分诊时间、住院时间、卧床时间以及并发症情况。结果 ①优化组抢救成 功率(88.89%)高于常规组(74.07%)，差异具有统计学意义(P＜0.05)；②优化组分诊、急诊抢救、住院、卧床时间 小于常规组(P＜0.05)；③优化组并发症率(9.26%)低于常规组(22.22%)，组间对比有差异(P＜0.05)。结论 急诊科 通过对护理管理流程进行优化，有利于缩短抢救时间，提高成功率，改善急性心肌梗死预后，值得临床推广。

Objective To observe the application values of optimized emergency nursing procedure in acute myocardial infarction, and analyze the influence of this nursing mode on prognosis. Methods 108 patients with acute myocardial infarction treated in our hospital were selected and randomly divided into the conventional group (n=54) and the optimized group (n=54). The conventional group was given routine emergency nursing, and the optimized group was given optimized emergency nursing. The prognosis, emergency rescue time, triage time, hospital stay, in-bed time and complications were compared in the two groups. Results The rescue success rate in the optimized group was higher than that in the conventional group (88.89% vs. 74.07%) (P<0.05). The triage time, emergency rescue time, hospital stay and in-bed time were less than those in the conventional group (P<0.05). The complication rate in the optimized group was lower than that in the conventional group (9.26% vs. 22.22%) (P<0.05). Conclusion Optimized emergency nursing procedure in the emergency department can not only shorten the rescue time, but also improve the success rate and prognosis of patients with acute myocardial infarction. Therefore it is worthy of clinical promotion.