目的 探讨急诊内科全程优化护理应用于急性心肌梗死患者中的效果。方法 选取我院急诊内科2015年3月-2017年3 月收治的急性心肌梗死患者68例为研究对象，按照随机数字表法分为对照组(n=34例)和观察组(n=34例)，分别采取 常规急诊护理和急诊全程优化护理，比较两组护理效果及抢救情况。结果 观察组分诊评估时间、静脉采血时间、 心电图时间、急救总时间以及住院时间等均明显短于对照组，组间比较差异有统计学意义(P<0.05)；对照组满意度 为73.5%，观察组为94.1%，两组比较差异有统计学意义(P<0.05)；观察组复发率5.9%，再次介入治疗率8.8%，对照 组分别为23.5%和29.4%，组间比较差异有统计学意义(P<0.05)。结论 急诊全程优化护理应用于急性心肌梗死抢救 中，可显著缩短抢救时间、提高抢救效果、改善预后，且有助于提高满意度，值得临床推广应用。

Objective To explore the effect of nursing care for acute myocardial infarction in patients with acute myocardial infarction. Methods 68 patients with acute myocardial infarction treated in emergency internal medicine of our hospital from March 2015 to March-2017 were selected as the research objects, the patients were divided into control group (n=34 cases) and observation group (n=34 cases) according to random number table method, routine emergency nursing and emergency whole course optimization nursing were adopted respectively, compared two groups of nursing effects and rescue situations. Results The evaluation time, venous blood sampling time, ECG time, first aid time and hospitalization time of the observation group were significantly shorter than those of the control group(P<0.05). The satisfaction of the control group was 73.5%, the observation group was 94.1%, and the difference between the two groups was statistically significant (P<0.05). The recurrence rate of the observation group was 5.9%, and the intervention rate of intervention was 8.8%, the control group were 23.5% and 29.4% respectively, there was significant difference between the two groups (P<0.05). Conclusion In the emergency treatment of acute myocardial infarction, it can shorten the rescue time, improve the salvage effect, improve the prognosis and help to improve satisfaction, which is worthy of clinical application.