120院前急救在急诊患者中的应用价值及对抢救成功率的影响  

Application value of 120 pre-hospital first aid in emergency patients and its influence on the success rate of rescue

作　　者：罗林[1] LUO Lin(the First People's Hospital of Yulin,Yulin 537000,China)

机构地区：[1]玉林市第一人民医院,广西玉林537000

出　　处：《临床医学研究与实践》2025年第10期70-73,共4页Clinical Research and Practice

摘　　要：目的探讨120院前急救在急诊患者中的应用价值。方法选取2022年1月至2024年4月本院收治的60例急诊患者为研究对象,按急救处理方式的不同将其分为对照组(30例,常规急救处理)和观察组(30例,120院前急救处理)。比较两组的抢救成功率、急救时间、生命体征、满意度、生活质量及不良事件发生情况。结果观察组的抢救成功率高于对照组(P<0.05)。观察组的首诊用时、120到达用时、病情评估用时、静脉通道建立用时及心电图用时短于对照组(P<0.05)。急救后,观察组的呼吸频率、心率及收缩压低于对照组(P<0.05)。观察组的急救操作娴熟度、各急救环节流畅度、急救服务认可度及急救操作舒适度评分高于对照组(P<0.05)。观察组的世界卫生组织生存质量测定量表简表(WHOQOL-BREF)各维度评分高于对照组(P<0.05)。观察组的不良事件总发生率低于对照组(P<0.05)。结论120院前急救应用于急诊患者的效果显著,不仅能提高抢救成功率,缩短救治时间,还能稳定生命体征,提升患者的满意度和生活质量,降低不良事件发生率。Objective To explore the application value of 120 pre-hospital first aid in emergency patients.Methods A total of 60 emergency patients admitted in our hospital from January 2022 to April 2024 were selected as the research objects and divided into control group(30 cases,routine emergency treatment)and observation group(30 cases,120 pre-hospital emergency treatment)according to the different emergency treatment methods.The rescue success rate,first aid time,vital signs,satisfaction,quality of life and adverse events were compared between the two groups.Results The rescue success rate of the observation group was higher than that of the control group(P<0.05).The first diagnosis time,120 arrival time,condition assessment time,venous channel establishment time and electrocardiogram time of the observation group were shorter than those of the control group(P<0.05).After emergency treatment,the respiratory rate,heart rate and systolic blood pressure of the observation group were lower than those of the control group(P<0.05).The first aid operation proficiency,first aid link fluency,first aid service recognition and first aid operation comfort scores of the observation group were higher than those of the control group(P<0.05).The scores of each dimension of World Health Organization Quality of Life-BREF(WHOQOL-BREF)in the observation group were higher than those in the control group(P<0.05).The total incidence of adverse events in the observation group was lower than that in the control group(P<0.05).Conclusion 120 pre-hospital first aid is effective in emergency patients.It can not only improve the success rate of rescue,shorten the treatment time,but also stabilize the vital signs,improve patients'satisfaction and quality of life,and reduce the incidence of adverse events.

关 键 词：120院前急救 急诊 抢救成功率 生命体征 

分 类 号：R459.7[医药卫生—急诊医学]