院前急救方式对急性左心衰竭患者生命体征及疗效的影响  

Effect of Prehospital Emergency Treatment on Vital Signs and Curative Effect of Patients with Acute Left Heart Failure

作　　者：林明峰 LIN Ming-feng(Department of Emergency,Tangyin County People's Hospital ofAnyang City,Tangyin Henan456150)

机构地区：[1]河南省安阳市汤阴县人民医院急诊科,汤阴456150

出　　处：《实用中西医结合临床》2021年第6期7-8,95,共3页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:分析院前急救方式对急性左心衰竭患者心率、呼吸指标、治疗有效率及并发症发生率的影响。方法:回顾性分析2018年2月~2020年2月救治的急性左心衰竭患者92例临床资料,依据院前急救方式不同分为两组,将接受先救治后转运急救方式的45例纳入观察组,接受边治疗边转运急救方式的47例纳入对照组。记录两组急救处理前及处理后的心率、呼吸指标,并对比两组治疗效果及并发症发生率。结果:两组处理后的呼吸、心率水平及血氧饱和度较处理前明显改善,且观察组改善程度优于对照组(P<0.05);对照组总有效率(75.56%)较观察组(93.62%)低(P<0.05);对照组并发症总发生率(28.89%)较观察组(8.51%)高(P<0.05)。结论:先救治再转运这种院前急救手段在提高急性左心衰竭患者救治效率方面效果显著,同时可改善患者呼吸、心率水平,降低入院前并发症,改善预后。Objective:To analyze the effect of prehospital emergency treatment on heart rate,respiratory index,treatment efficiency and complication rate of patients with acute left heart failure.Methods:From February 2018 to February 2020,the clinical data of 92 patients with acute left heart failure treated in our hospital were retrospectively analyzed.They were divided into two groups according to the different ways of prehospital first aid.45 patients who received first aid and then transfer were included in the observation group,and 47 patients who received emergercy treatment while transfer were included in the control group.The heart rate and respiratory index of both groups were recorded before and after emergency treatment,and the treatment effect and complication rate were compared between the two groups.Results:After treatment,the respiration,heart rate and blood oxygen saturation of the two groups were significantly improved,and the improvement degree of the observation group was better than that of the control group,with significant difference(P<0.05);the total effective rate of the control group(75.56%)was lower than that of the observation group(93.62%),with significant difference(P<0.05);the total incidence of complications of the control group(28.89%)was higher than that of the observation group(8.51%),with significant difference(P<0.05).Conclusion:The effect of first and then transfer prehospital first aid is significant in improving the treatment efficiency of patients with acute left heart failure.At the same time,it can improve the level of respiration and heart rate of patients,reduce the complications before admission,and improve the prognosis.

关 键 词：急性左心衰竭 先救治后转运院前急救方式 边治疗边转运院前急救方式 

分 类 号：R541.6[医药卫生—心血管疾病]