急性心肌梗死的院前抢救体会  

Experience of pre-hospital rescue for acute myocardial infarction

作　　者：施显照 吴至伟 林裕灼[1] Shi Xianzhao;Wu Zhiwei;Lin Yuzhuo(Department of Emergency,the First People's Hospital of Qinzhou City,Guangxi Zhuang Autonomous Region,Guangxi Qinzhou 535000)

机构地区：[1]广西钦州市第一人民医院急诊科,广西钦州535000

出　　处：《中国社区医师》2020年第16期21-22,共2页Chinese Community Doctors

摘　　要：目的:探讨急性心肌梗死(AMI)患者的院前急救措施,总结临床治疗效果。方法:2016年1月-2019年6月收治AMI患者136例,随机分为两组,各68例。观察组给予院前急救措施,对照组给予常规救治。比较两组救治效果。结果:观察组出诊时间、急救时间、入院时间、并发症发生率、复发率和死亡率均低于对照组,差异均有统计学意义(P<0.05)。观察组抢救成功率、急救诊断率、转运成功率均优于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论:对AMI患者实施院前抢救措施,能够充分争取抢救时间,挽救患者生命,稳定病情,改善预后,提高患者生活质量。Objective:To discuss the pre-hospital emergency measures for acute myocardial infarction(AMI)and observe the clinical therapeutic effect.Methods:From January 2016 to June 2019,136 cases of AMI were enrolled,they were randomly divided into two groups with 68 cases in each group.The observation group was given pre-hospital emergency measures.The control group was given routine rescue.The therapeutic effects between the two groups was compared.Results:The visiting time,the emergency time and admission time of observation group were lower than control group,the differences were statistically significant(P<0.05).The success rate of rescue,the emergency diagnosis rate and transportation success rate in the observation group were better than in the control group,the differences were statistically significant(P<0.05).The total effective rate of treatment in the observation group was higher than in the control group and the complication rate,the recurrence rate and mortality rate were lower than the control group,the differences were statistically significant(P<0.05).Conclusion:The implementation of pre-hospital care and rescue measures for AMI patients can fully fight for rescue time,save patients'lives,stabilize the disease,improve prognosis and improve the quality of life of patients.

关 键 词：急性心肌梗死 院前抢救 体会 

分 类 号：R542.22[医药卫生—心血管疾病]