急诊集束化治疗急性心力衰竭患者的疗效及对心肺功能的影响

摘要

Objective To study the effect of emergency bundle in the treatment of patients with acute heart failure,as well as to the function of heart and lung,short-term symptom improvement action. Method Selected 110 AHF patients from 2012 October ~2014 October during the emergency department of our hospital,which were divided into the study group (emergency cluster treatment) of 55 patients and control group (routine emergency treatment). Observed and recorded the two groups of patients with short-term symptom improvement time,hospitalization time,the rate of endotracheal intubation,mortali-ty,and cardiac and pulmonary function changes. Results The improvement time of short-term symptom of study group was significantly shorter than the control group (P <0. 05);the hospitalization time of the two groups had no significant difference (P >0. 05). Research group of tracheal intubation rate was 5. 45% ,the mortality rate was 3. 64% ,significantly lower than the control group 21. 82% ,18. 18% (P <0. 05). In the study group after treatment,SaO2 ,PaO2 were significantly higher than that of the control group and before treatment (P <0. 05);RR and SBP were significantly lower than those of control group and be-fore treatment (P <0. 05). Conclusion Emergency care bundle has remarkable effect in the patients with AHF,and can quickly improve the shortness of breath,breath frequency speed,breathing difficulties and other short-term symptoms,strength-en heart and lung function,which is suitable for clinical application and popularization.%目的：分析急诊集束化治疗急性心力衰竭(AHF)患者的疗效，以及对心肺功能的改善作用。方法选择急诊收治的 AHF 患者110例，随机分为集束化组(行急诊集束化治疗)55例及常规组(行常规急诊治疗)55例。观察及记录两组患者短期症状改善时间、住院时间、气管插管率、死亡率以及心肺功能的变化。结果集束化组患者短期症状的改善时间显著低于常规组(P <0.05)；两组住院时间对比差异无统计学意义(P >0.05)。集束化组气管插管率为5.45%、死亡率为3.64%，显著低于常规组的21.82%、18.18%(P <0.05)。集束化组治疗后血氧饱和度、动脉血氧分压显著高于常规组及治疗前(P <0.05)；呼吸及收缩压显著低于常规组及治疗前(P <0.05)。结论急诊集束化治疗在 AHF 患者中具有显著的应用效果，可以快速改善患者气短、呼吸频速、呼吸困难等短期症状，强化心肺功能，适于临床推广与应用。