院前急救干预对急性心肌梗死患者预后的影响

摘要

Objective:To explore the effects of pre-hospital first aid measures on the prognosis of acute myocardial infarction. Method:Used the retrospective analysis method,120 cases were randomly selected from the acute myocardial infarction patients who were treated in our hospital from June 2012 to June 2014.60 cases were treated by our pre-hospital first aid,as the first aid group;another 60 cases voluntarily came to the hospital for treatment,as the control group. Then the first aid group’s rescue and transport measures were analyzed,the mortality and satisfaction of two groups were compared.Result:The first aid group had 1 case died on the scene for 1.67%,3 cases died after admission for 5%,the total mortality was 6.67%,higher than the control group of 13.33%;and it’s patients’satisfaction was 98.33%, significantly higher than the latter 70%,the differences were statistically significant(P<0.05).Conclusion:Pre-hospital first aid is very necessary for patients with acute myocardial infarction,which can improve the rescue success rate,ensure patients’ health and reduce mortality.%目的：探讨院前急救措施对急性心肌梗死预后的影响。方法：采用回顾式分析方法，随机从2012年6月-2014年6月来本院治疗的急性心肌梗死患者病例中选出120例，其中60例获得本院急救人员进行的院前急救措施，作为急救组；另外60例为自行来到医院治疗，作为对照组。对急救组采取的急救和转运措施进行分析，比较两组患者死亡率和满意度情况。结果：急救组有1例现场死亡（1.67%），3例入院后死亡（5.00%），总死亡率为6.67%，而对照组死亡率为13.33%，明显高于急救组；急救组患者的满意度为98.33%，明显高于对照组70.00%，两组比较差异均有统计学意义（P<0.05）。结论：对急性心肌梗死患者进行院前急救是十分必要的，其可以提高心肌梗死抢救成功率，最大程度保证患者的健康，降低死亡率。