预警防控模式对三级医院院内“三梗一出血”疾病的干预效果  

The intervention effect of early warning and prevention mode on in-hospital“three infarction and one hemorrhage”diseases in gradeⅢhospitals

作　　者：胡琴[1] 向华[1] 石泽亚[1] 王庆[1] 莫伟[1] HU Qin;XIANG Hua;SHI Zeya;WANG Qing;MO Wei(Hunan Provincial People's Hospital(The First Affiliated Hospital of Hunan Normal University),Changsha,Hunan Province 410005,China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院),湖南长沙410005

出　　处：《介入放射学杂志》2023年第9期855-860,共6页Journal of Interventional Radiology

基　　金：湖南省急危重症急救能力提升与突发公共卫生应急救治关键技术协同创新工程(2020SK1010)。

摘　　要：目的创建湖南省三级医院“三梗一出血”预警防控模式,为逐步建立规范化和专业化的防控和救治模式提供依据。方法将2017年2月至2020年1月在湖南省人民医院院内发生“三梗一出血”患者328例作为对照组,2020年2月至2023年1月发生的“三梗一出血”患者272例作为观察组。对照组实施常规干预,观察组在结合对照组情况的基础上实施预警防控干预模式。比较两组患者急救时间、住院时间、并发症发生率、致残率、致死率和诊疗服务满意度。结果观察组患者急救时间、住院时间、并发症发生率、致残率和致死率均显著低于对照组,而诊疗服务满意度显著高于对照组,两组间比较差异有统计学意义(P<0.05)。结论预警防控模式能够明显缩短“三梗一出血”患者的急救时间和住院时间,有助于降低并发症发生率和致残率、致死率,提升诊疗服务满意度,为建立逐步规范化和专业化的防控和救治模式提供了依据。Objective To establish an early warning and prevention mode for in-hospital acute myocardial infarction(AMI),pulmonary thromboembolism(PTE),acute cerebral infarction(ACI),and dangerous bleeding(referring to as“three infarction and one hemorrhage”diseases),in gradeⅢhospitals of Hunan Province of China,so as to provide a basis for gradually establishing a standardized and professional prevention and treatment strategy in managing in-hospital“three infarction and one hemorrhage”diseases.Methods A total of 328 patients who developed in-hospital“three infarction and one hemorrhage”diseases at the Hunan Provincial People's Hospital of China between February 2017 and January 2020 were collected and used as the control group,and other 272 patients who developed in-hospital“three infarction and one hemorrhage”diseases at the Hunan Provincial People's Hospital between February 2020 and January 2023 were collected and used as the observation group.Routine intervention measures were implemented in the control group,while on the basis of summarizing the results of the control group the intervention mode measures of early warning and prevention were carried out in the observation group.The first-aid time,the hospitalization stay,the incidences of complications,disability and mortality,and the degree of satisfaction with medical and nursing services were compared between the two groups.Results The first-aid time,the hospitalization stay,and the incidences of complications,disability and mortality in the observation group were significantly lower than those in the control group,while the degree of satisfaction with medical and nursing services in the observation group was strikingly higher than that in the control group,and the differences in the above indexes between the two groups were statistically significant(all P<0.05).Conclusion The implementation of the early warning and prevention mode measures can obviously shorten the first-aid time and hospitalization stay of patients with in-hospital“three infarc

关 键 词：预警防控模式 三梗一出血 干预效果 

分 类 号：R459.7[医药卫生—急诊医学]