[1]赫 然.院前急救临床路径对急性心肌梗死患者抢救效果及预后的影响[J].医学信息,2021,34(15):134-136.[doi:10.3969/j.issn.1006-1959.2021.15.036]
　HE Ran.The Effect of Pre-hospital Emergency Clinical Pathway on the Rescue Effect and Prognosis of Patients with Acute Myocardial Infarction[J].Medical Information,2021,34(15):134-136.[doi:10.3969/j.issn.1006-1959.2021.15.036]
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院前急救临床路径对急性心肌梗死患者抢救效果及预后的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年15期
页码:
134-136
栏目:
临床研究
出版日期:
2021-08-01

文章信息/Info

Title:
The Effect of Pre-hospital Emergency Clinical Pathway on the Rescue Effect and Prognosis of Patients with Acute Myocardial Infarction
文章编号:
1006-1959（2021）15-0134-03
作者:
赫 然
（天津市急救中心急救四科，天津 300011）
Author(s):
HE Ran
(Fourth Department of First Aid,Tianjin Emergency Center,Tianjin 300011,China)
关键词:
院前急救; 急性心肌梗死; 急救反应时间; 院前处置时间
Keywords:
Pre-hospital emergency; Acute myocardial infarction; Emergency response time; Pre-hospital treatment time
分类号:
G459.7
DOI:
10.3969/j.issn.1006-1959.2021.15.036
文献标志码:
A
摘要:
目的 研究院前急救临床路径对急性心肌梗死患者抢救效果及预后的影响。方法 选取2019年6月~2020年6月天津市急救中心接诊的64例急性心肌梗死患者作为研究对象，依据院前急救方式分为对照组（n=33）和观察组（n=31）。对照组实施常规院前急救，观察组实施院前急救临床路径，比较两组急救反应时间、院前处置时间（首次医疗接触至到达医院急诊室时间）、住院时间、急救总有效率、急救后生命体征变化情况、并发症发生率。结果 观察组急救反应时间、院前处置时间、住院时间均短于对照组，差异有统计学意义（P＜0.05）；观察组急救总有效率为93.54%，高于对照组的84.84%，差异有统计学意义（P＜0.05）；观察组急救满意度为96.77%，高于对照组的84.84%，差异有统计学意义（P＜0.05）；观察组心率、呼吸优于对照组，差异有统计学意义（P＜0.05）；两组舒张压、收缩压与对照组比较，差异无统计学意义（P＞0.05）。观察组并发症发生率为12.90%，低于对照组的21.21%，差异有统计学意义（P＜0.05）。结论 院前急救临床路径可改善急性心肌梗死患者抢救效果，提高急救总有效率，缩短院前处置时间、住院时间，提高急救满意度，降低并发症发生率，快速纠正呼吸和心率，促进良好预后的形成。
Abstract:
Objective To investigate the effect of the clinical route of first aid before the research institute on the rescue effect and prognosis of patients with acute myocardial infarction.Methods 64 patients with acute myocardial infarction received by Tianjin Emergency Center from June 2019 to June 2020 were selected as the research objects, and were divided into control group (n=33) and observation group (n=31) according to the pre-hospital emergency treatment method.The control group performed routine pre-hospital first aid, and the observation group performed pre-hospital first aid clinical pathways.The emergency response time, pre-hospital treatment time (time from first medical contact to arrival in the emergency room of the hospital), hospitalization time, total effective rate of first aid, changes in vital signs after first aid, and incidence of complications were compared between the two groups.Results The emergency response time, pre-hospital treatment time, and hospitalization time of the observation group were shorter than those of the control group,the difference was statistically significant (P<0.05);The total effective rate of first aid in the observation group was 93.54%, which was higher than 84.84% in the control group,the difference was statistically significant (P<0.05);The first aid satisfaction degree of the observation group was 96.77%, which was higher than 84.84% of the control group,the difference was statistically significant (P＜0.05);The heart rate and respiration of the observation group were better than those of the control group,the difference was statistically significant(P＜0.05);Compared with the control group, the diastolic and systolic blood pressure of the two groups were not statistically different (P>0.05).The incidence of complications in the observation group was 12.90%, which was lower than 21.21% in the control group,the difference was statistically significant(P<0.05).Conclusion The pre-hospital first aid clinical pathway can improve the rescue effect of patients with acute myocardial infarction, increase the total effective rate of first aid, shorten the pre-hospital treatment time and hospital stay, improve first aid satisfaction, and reduce the incidence of complications.Quickly correct breathing and heart rate, and promote the formation of a good prognosis.

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更新日期/Last Update: 1900-01-01