目的：探讨不同院前急救方式对急性心肌梗死合并急性左心衰竭救治效果及预后的影响。方法选取2013年1月至2014年1月禹城市中医院急诊救治的200例急性心肌梗死合并急性左心衰竭患者为研究对象，采用随机数字表法分为观察组和对照组，各100例。观察组患者采用先治疗后转运的院前急救方式，对照组患者采用边转运边治疗的院前急救方式。观察两组患者的临床疗效及预后情况。结果观察组急救治疗总有效率及生存率明显高于对照组[80．0％（80／100）比50．0％（50／100），80．0％（80／100）比65．0％（65／100）]，差异均有统计学意义（P ＜0．05）。两组患者上车急救时、到医院时的呼吸频率和心率均呈下降趋势，血氧饱和度呈上升趋势，组间、不同时点间、组间・不同时点间交互作用比较差异有统计学意义（ P＜0．05）。结论对急性心肌梗死合并急性左心衰竭患者采用先治疗后转运的院前急救方式，有助于控制病情进展，减少转运风险，改善预后，降低事件发生率。%Objective To explore effect of different ways of pre-hospital care of acute myocardial infarc-tion with acute left ventricular failure and the influence on the prognosis .Methods Total of 200 acute myo-cardial infarction patients with acute heart failure in Emergency Department of Yuchen Chinese Medical Hos-pital from Jan.2013 to Jan.2014 were selected and divided into observation group and control group accord-ing to random number table method,100 cases each.The observation group was given pre-hospital emergency treatment before transportation,while the control group was given the pre-hospital treatment during transporta-tion.The clinical efficacy and prognosis of the two groups were observed and compared.Results The total effective rate and survival rate of the observation group were significantly higher than the control group [80.0% (80/100) vs 50.0% (50/100),80.0% (80/100) vs 65.0% (65/100)],and the difference was statistically significant(P<0.05).The respiratory rate showed a downward trend,the blood oxygen satu-ration increased of both groups from getting on the ambulance to arriving at hospital ,the differences between groups and different time points,and groups・ different time points interaction were statistically significant (P<0.05).Conclusion Pre-hospital emergency treatment before transportation to patients with acute myo-cardial infarction and acute left ventricular failure helps to control the disease progression ,reduces transporta-tion risk,improves the prognosis,and reduces the event incidence.
展开▼
