社区医疗和院前治疗对不稳定心绞痛和无Q波心肌梗死患者预后转归的影响  

Influence of Community Medical Treatment and Prehospital Treatment on Prognosis Outcome of Patients with Unstable Angina Pectoris and Non-Q-Wave Myocardial Infarction

作　　者：欧阳好 林炳锐 李平 王伟 潘柳芬 张春兰 Ouyang Hao;Lin Bing-rui;Li Ping;Wang Wei;Pan Liu-fen;Zhang Chun-lan(People's Hospital of Longhua District of Shenzhen City,Shenzhen 518109,Guangdong Province,China)

机构地区：[1]深圳市龙华区人民医院,广东深圳518109

出　　处：《中国社区医师》2022年第2期43-45,共3页Chinese Community Doctors

基　　金：深圳市龙华区科创局医疗卫生项目,项目名称:社区医疗和院前治疗对不稳定心绞痛和无Q波心肌梗死患者预后转归的影响,项目编号(2017070)。

摘　　要：目的:探讨社区医疗和院前治疗对不稳定心绞痛(UA)和无Q波心肌梗死(NQMI)患者预后的影响。方法:选取2016年12月-2018年12月社区健康服务中心接诊并最终转送至本院的UA和NQMI患者110例,随机分为两组,各55例。常规组给予吸氧、完善心电监护后,立即转诊至本院进一步治疗;研究组在此基础上给予心血管疾病社区医疗以及现场给予硝酸酯类药物、β-阻滞剂类药物和抗血小板治疗等院前急救后,转诊至本院进一步治疗。比较两组治疗效果。结果:研究组治疗总有效率显著高于常规组,差异有统计学意义(P<0.05)。研究组静息心电图改善的总有效率显著高于常规组,差异有统计学意义(P<0.05)。研究组心脏收缩功能指标水平优于常规组,心绞痛及伴随症状发生率、就诊费用均低于常规组,差异均有统计学意义(P<0.05)。结论:社区医疗和院前治疗可提高UA和NQMI患者治疗效果,改善患者预后情况及心功能水平,降低医疗费用。Objective:To investigate the influence of community medical treatment and prehospital treatment on the prognosis of patients with unstable angina(UA)and non-Q-wave myocardial infarction(NQMI).Methods:From December 2016 to December 2018,110 patients with UA and NQMI who were admitted to the community health service center and transferred to our hospital were selected,they were randomly divided into the two groups with 55 cases in each group.After oxygen inhalation and ECG monitoring,the conventional group was immediately referred to our hospital for further treatment.On this basis,the research group was given community medical care for cardiovascular diseases,as well as on-site prehospital emergency treatment such as nitrate drugs,β-blockers,and antiplatelet therapy,before being transferred to our hospital for further treatment.The treatment effects of the two groups were compared.Results:The total effective rate of treatment in the research group was significantly higher than that in the conventional group,the difference was statistically significant(P<0.05).The total effective rate of resting ECG improvement in the research group was significantly higher than that in the conventional group,the difference was statistically significant(P<0.05).The index level of cardiac systolic function in the research group was better than that in the conventional group,and the incidence of angina pectoris and accompanying symptoms as well as medical expenses were lower than that in the conventional group,the differences were statistically significant(P<0.05).Conclusion:Community medical treatment and prehospital treatment can improve the treatment effect of UA and NQMI patients,improve the prognosis of patients and the level of cardiac function,and reduce medical expenses.

关 键 词：社区医疗 院前治疗 不稳定心绞痛 无Q波心肌梗死 预后 

分 类 号：R541.4[医药卫生—心血管疾病] R542.22[医药卫生—内科学]