[1]王 铮.不同院前急救方式对心肌梗死后急性左心衰竭救治效果及预后的影响[J].医学信息,2022,35(12):169-171.[doi:10.3969/j.issn.1006-1959.2022.12.042]
　WANG Zheng.Effect of Different Pre-hospital Emergency Methods on Treatment and Prognosis of Acute Left Heart Failure After Myocardial Infarction[J].Medical Information,2022,35(12):169-171.[doi:10.3969/j.issn.1006-1959.2022.12.042]
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不同院前急救方式对心肌梗死后急性左心衰竭救治效果及预后的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年12期
页码:
169-171
栏目:
临床研究
出版日期:
2022-06-15

文章信息/Info

Title:
Effect of Different Pre-hospital Emergency Methods on Treatment and Prognosis of Acute Left Heart Failure After Myocardial Infarction
文章编号:
1006-1959（2022）12-0169-03
作者:
王 铮
（天津市急救中心，天津 300171）
Author(s):
WANG Zheng
(Tianjin First Aid Center,Tianjin 300171,China)
关键词:
院前急救; 心肌梗死; 左心衰竭
Keywords:
Pre-hospital emergency; Myocardial infarction; Left heart failure
分类号:
R197
DOI:
10.3969/j.issn.1006-1959.2022.12.042
文献标志码:
A
摘要:
目的 研究不同院前急救方式对心肌梗死后急性左心衰竭救治效果及预后的影响。方法 回顾性选择天津市急救中心2019年5月-2020年5月接诊的72例心肌梗死后合并急性左心衰竭患者为研究对象，按照院前急救方式分为对照组（35例）和观察组（37例），对照组实施常规院前急救方式，观察组实施先救治待症状缓解后再转运的院前急救方式，两组均就近送往有救治能力的三甲医院进行治疗，比较两组救治效果、院前救治时间、住院时间、生命体征、并发症发生情况及救治满意度。结果 观察组救治总有效率为94.59%，高于对照组的82.86%，差异有统计学意义（P＜0.05）；观察组院前救治时间长于对照组，住院时间短于对照组，差异有统计学意义（P＜0.05）；两组心率及呼吸频率均低于干预前，血氧饱和度高于干预前，且观察组心率及呼吸频率均低于对照组，血氧饱和度高于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率为10.81%，低于对照组的22.86%，差异有统计学意义（P＜0.05）；观察组救治满意度为97.30%，高于对照组的85.71%，差异有统计学意义（P＜0.05）。结论 院前实施先救治待症状缓解后再转运的急救方式对心肌梗死后急性左心衰竭患者的救治效果有积极的影响，可缩短患者住院时间，改善心率及呼吸频率，提高血氧饱和度，有效减少并发症的发生，提高救治满意度，具有确切的临床价值。
Abstract:
Objective To study the effect of different pre-hospital emergency methods on the treatment effect and prognosis of acute left heart failure after myocardial infarction.Methods A total of 72 patients with acute left heart failure after myocardial infarction admitted to Tianjin Emergency Center from May 2019 to May 2020 were retrospectively selected as the research objects. They were divided into the control group (35 cases) and the observation group (37 cases) according to the pre-hospital emergency treatment. The control group was given conventional pre-hospital emergency treatment, and the observation group was given pre-hospital emergency treatment after symptom relief and then transfer. Both groups were sent to the tertiary hospitals with treatment ability for treatment. The treatment effect, pre-hospital treatment time, hospitalization time, vital signs, complications and treatment satisfaction of the two groups were compared.Results The total effective rate of treatment in the observation group was 94.59%, which was higher than 82.86% in the control group, and the difference was statistically significant (P<0.05). The pre-hospital treatment time of the observation group was longer than that of the control group, and the hospitalization time was shorter than that of the control group, the difference was statistically significant (P<0.05). The heart rate and respiratory rate of the two groups were lower than those before intervention, and the oxygen saturation was higher than that before intervention, meanwhile the heart rate and respiratory rate of the observation group were lower than those of the control group, and the oxygen saturation was higher than that of the control group, the difference was statistically significant (P<0.05). The incidence of complications in the observation group was 10.81%, which was lower than 22.86% in the control group, and the difference was statistically significant (P<0.05). The treatment satisfaction of the observation group was 97.30%, which was higher than 85.71% of the control group, and the difference was statistically significant (P<0.05).Conclusion The implementation of pre-hospital emergency treatment after symptom relief and transportation has a positive effect on the treatment effect of patients with acute left heart failure after myocardial infarction. It can shorten the hospitalization time of patients, improve heart rate and respiratory rate, improve blood oxygen saturation, effectively reduce the occurrence of complications and improve treatment satisfaction, which has exact clinical value.

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更新日期/Last Update: 1900-01-01