两种不同院前急救方式对急性心肌梗死合并急性左心室衰竭患者急救效果及预后的影响对比(1)

http://www.100md.com 2018年8月25日 《中国医学创新》 2018年第24期

     【摘要】 目的：探讨两种不同的院前急救方式救治急性心肌梗死合并左心室衰竭患者的效果及预后影响。方法：选取2016年6月-2017年6月本院急诊治疗的急性心肌梗死合并左心室衰竭患者34例。根据患者在院前急救所采取的方式不同分為对照组和观察组，各17例。对照组采取由家属送往医院，先转送后急救的方式；观察组采取由急救人员送往医院，先急救后转送的方式。比较两组急救效果，经急救后的血压、心率、呼吸、生存以及并发症情况。结果：观察组急救总有效率、生存率均高于对照组(P<0.05)；经急救后，两组血压比较差异无统计学意义(P>0.05)；观察组心率和呼吸均慢于对照组(P<0.05)；观察组并发症发生率明显低于对照组(P<0.05)。结论：对急性心肌梗死合并左心室衰竭的患者使用不同的院前急救方式会导致不一样的临床效果，而先急救后转送的急救措施会明显地改善患者的呼吸和心率，提高急救效果，减少并发症的发生，从而提高患者的存活率，因此在以后的生活中可大力推广。

    【关键词】 院前急救； 急性心肌梗死； 左心室衰竭
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    【Abstract】 Objective：To investigate the effects of two different prehospital emergency methods on first aid effectiveness and prognosis of patients with acute myocardial infarction complicated with left ventricular heart-failure.Method：A total of 34 patients with acute myocardial infarction complicated with left ventricular heart-failure treated in our hospital from June 2016 to June 2017 were selected.According to the way the patients took the prehospital emergency care，they were divided into control group and observation group，17 cases in each group.The control group was sent to the hospital by the members，took the first transfer and then first aid，and observation group took the first aid personnel to the hospital，first aid and then transfer.The effects of first aid，blood pressure，heart rate，respiration，survival and complications after treatment between two groups were compared.Result：The total effective rate and survival rate of observation group were higher than those of control group(P<0.05).After first aid，the blood pressure in two groups was compared，the difference was not statistically significant(P>0.05).The heart rate and respiration rate in observation group were slower than those of control group(P<0.05).The incidence of complications in observation group was significantly lower than that of control group(P<0.05).Conclusion：The use of different prehospital emergency methods for patients with acute myocardial infarction complicated with left ventricular heart-failure will lead to different clinical results，and first aid and then transfer can significantly improve the patient’s breathing and heart rate，improve the efficacy of first aid，reduce the incidence of complications，improve the patient’s survival rate，so in the future life can be vigorously promoted.

    【Key words】 Prehospital emergency； Acute myocardial infarction； Left ventricular heart-failure

    First-author’s address：Xiaolan Hospital Affiliated to Southern Medical University，Zhongshan 528415，China

    doi：10.3969/j.issn.1674-4985.2018.24.016, http://www.100md.com(赖智权 郭宇峰 吴文飞 周星求)

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