优化院前急诊干预结合绿色通道对急性肺源性心脏病患者院前延迟及预后的影响  

Effect of optimized prehospital emergency intervention combined with green channel on prehospital delay and prognosis of patients with acute cor pulmonale

作　　者：崔荣萍 崔杨慧 李爱霞 张永红 CUI Rong-ping;CUI Yang-hui;LI Ai-xia;ZHANG Yong-hong(Emergency Department,Hai'an People's Hospital,Nantong,Jiangsu,226600,China)

机构地区：[1]海安市人民医院急诊科,江苏南通226600

出　　处：《心血管康复医学杂志》2025年第1期56-60,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探讨优化院前急诊干预联合绿色通道对急性肺源性心脏病(ACP)患者院前延迟和预后的影响。方法:选择2021年1月-2023年1月海安市人民医院收治的116例ACP患者,按照随机数字表法分为对照组和干预组,各58例。对照组采用常规急诊护理流程,干预组采用优化院前急诊干预联合绿色通道方案。干预1个月后,对比两组疗效、急诊指标、心肺功能、生活质量及并发症发生率。结果:1个月后,干预组的总有效率显著高于对照组(84.48%比62.07%,P=0.006)。与对照组比较,干预组的急诊停留时间[(19.80±1.90)min比(27.92±1.62)min]、分诊评估时间[(2.01±0.18)min比(2.99±0.17)min]和转运时间[(33.69±1.90)min比(35.91±1.74)min]显著缩短,左室射血分数(LVEF)[(59.85±1.36)%比(46.97±1.79)%]、第1秒用力呼气容积(FEV1)[(3.66±0.17)L比(3.00±0.17)L]、护理质量及慢性肺源性心脏病患者生命质量测定量表(QLICD-CPHD)各项评分均显著增加(P均<0.001)。干预组的并发症发生率显著低于对照组(5.17%比17.24%,P=0.039)。结论:优化院前急诊干预联合绿色通道对ACP患者临床疗效显著,能减少急诊、分诊及转运的时间,提高护理质量和生活质量,增强心肺功能,降低并发症发生率。Objective:This article aims to investigate the effect of optimized prehospital emergency intervention combined with green channel on prehospital delay and prognosis of patients with acute cor pulmonale(ACP).Methods:This randomized controlled study enrolled 116 ACP patients admitted in Hai'an People's Hospital between January 2021 and January 2023.They were divided into control group(n=58,routine emergency nursing procedure)and intervention group(n=58,optimized prehospital emergency intervention combined with green channel program).After 1-month intervention,therapeutic effect,emergency indicators,cardiopulmonary function,quality of life and incidence of complications were compared between two groups.Results:After 1-month,total effective rate of intervention group was significantly higher than that of control group(84.48%vs.62.07%,P=0.006).Compared with patients in control group,those in intervention group had significant lower emergency stay time[(19.80±1.90)min vs.(27.92±1.62)min],triage assessment time[(2.01±0.18)min vs.(2.99±0.17)min]and transport time[(33.69±1.90)min vs.(35.91±1.74)min],and significant higher left ventricular ejection fraction(LVEF)[(59.85±1.36)%vs.(46.97±1.79)%],forced expiratory volume in one second(FEV1)[(3.66±0.17)L vs.(3.00±0.17)L],scores of nursing quality and each domain of Quality of Life Instruments for Chronic Diseases-Chronic Pulmonary Heart Disease(QLICD-CPHD)(P<0.001 all).Incidence of complications in intervention group was significantly lower than that of control group(5.17%vs.17.24%,P=0.039).Conclusion:Optimized prehospital emergency intervention combined with green channel has significant clinical effect on ACP patients.It could reduce emergency,triage and transport time,improve nursing quality and quality of life,enhance cardiopulmonary function,and reduce the incidence of complications.

关 键 词：肺心病 急救医疗服务 预后 

分 类 号：R541.5[医药卫生—心血管疾病]