院前-院内一体化急救模式在重度急性过敏性哮喘患者急救中的应用价值  

Application Value of Pre-hospital and In-hospital Integrated Emergency Model in the Emergency Care of Patients with Severe Acute Allergic Asthma

作　　者：程兰芳 郭文娟 杨丽伟 陈延军 要爱琴 王艳艳 CHENG Lanfang;GUO Wenjuan;YANG Liwei;CHEN Yanjun;YAO Aiqin;WANG Yanyan(Department of Emergency,the Second Hospital of Zhangjiakou City,Zhangjiakou,Hebei 075000,China)

机构地区：[1]张家口市第二医院急诊科,河北张家口075000

出　　处：《临床误诊误治》2023年第10期74-79,共6页Clinical Misdiagnosis & Mistherapy

基　　金：河北省医学科学研究课题计划项目(202110794);张家口市重点研发计划项目(2221057D)。

摘　　要：目的探讨院前-院内一体化急救模式配合泼尼松及多索茶碱静脉滴注治疗重度急性过敏性哮喘患者的效果。方法选择2021年1月—2022年12月收治的重度急性过敏性哮喘60例,根据干预方法分为观察组32例和对照组28例。对照组给予常规急救措施配合泼尼松及多索茶碱静脉滴注治疗,观察组给予院前-院内一体化急救模式配合泼尼松及多索茶碱静脉滴注治疗。比较2组急救效果、生命体征、痛苦程度及并发症、急救满意度等情况。结果观察组总有效率[96.88%(31/32)]与对照组[92.86%(26/28)]比较差异无统计学意义(P>0.05)。急救15 min后,观察组心率、呼吸频率低于对照组,经皮血氧饱和度高于对照组,痛苦程度低于对照组(P<0.05,P<0.01)。2组并发症发生率比较差异无统计学意义(P>0.05)。观察组急救满意度调查量表中心理疏导能力、操作技术娴熟度、医护配合协调度、急救效果及处理紧急情况能力评分均高于对照组(P<0.01)。结论院前-院内一体化急救模式配合泼尼松及多索茶碱静脉滴注治疗可提高重症急性过敏性哮喘急救效果,迅速改善患者呼吸功能,减轻其痛苦程度,提高急救满意度。Objective To investigate the effectiveness of pre-hospital and in-hospital integrated emergency care model combined with intravenous infusion of Prednisone+Doxofylline in the treatment of patients with severe acute allergic asthma.Methods Sixty patients with severe acute allergic asthma treated from January 2021 to December 2022 were selected and divided into observation group(n=32)and control group(n=28)according to the intervention method.The control group was given routine emergency treatment combined with intravenous infusion of Prednisone and Doxofylline,while the observation group was given pre-hospital and in-hospital integrated emergency care model combined with intravenous infusion of Prednisone and Doxofylline.The emergency care effect,vital signs,pain degree,complications,and emergency care satisfaction were compared between the two groups.Results There was no significant difference in the total effective rate between the observation group[96.88%(31/32)]and the control group[92.86%(26/28)](P>0.05).At 15 min after emergency care,the heart rate and respiratory rate of observation group were lower than those of control group,the percutaneous blood oxygen saturation was higher than that of control group,and the pain degree of observation group was lower than that of control group(P<0.05,P<0.01).There was no significant difference in the incidence of complications between the two groups(P>0.05).The scores of psychological counseling ability,skill proficiency,medical cooperation and coordination,emergency care effect and emergency handling ability in the emergency care satisfaction scale of the observation group were higher than those of the control group(P<0.01).Conclusion The pre-hospital and in-hospital integrated emergency care model with intravenous infusion of Prednisone+Doxofylline can improve the emergency care effect for severe acute allergic asthma,rapidly improve patients'respiratory function,reduce their suffering and increase satisfaction with emergency care.

关 键 词：一体化急救模式 泼尼松 多索茶碱 过敏性哮喘 急救 血气监测 经皮 生命体征 急救满意度 

分 类 号：R562.25[医药卫生—呼吸系统]