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优化院前急救流程在呼吸衰竭患者急救中的应用

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目的 分析优化院前急救流程在呼吸衰竭患者急救中的应用效果.方法 选择2020 年5 月至2022 年2 月接诊的呼吸衰竭患者 100 例,以随机数表法,分为对照组与观察组.对照组患者应用传统的急诊急救工作流程管理,如病情评估、给氧、用药等.观察组患者在对照组管理模式的基础上,优化急救工作流程,比较 2 组患者的急救意外事故发生率、急救出错率及急救满意度.结果 观察组存活率显著高于对照组,且死亡率及后遗症发生率均低于对照组,2 组比较差异均有统计学意义(P<0.05).急救后,观察组PaO2、pH值高于对照组(P<0.05),PaCO2 值显著低于对照组(P<0.05).经急救后,观察组患者FEV1%、FEV1 以及FEV1/FVC指标明显优于对照组,差异均有统计学意义(P<0.05);观察组的意外事故发生率及急救出错率均比对照组低,差异有统计学意义(P<0.05).结论 对呼吸衰竭患者来说,优化院前急救工作流程管理模式,可以显著提升急救工作人员的综合素养,降低急救出错率和意外事故发生率,充分保障患者的生命安全,提升急救效果和患者存活率,值得推广.
Study on the application effect of optimized pre-hospital emergency procedure in emergency treatment of patients with respiratory failure
Objective To analyze and optimize the application effect of optimized pre-hospital emergency procedure in patients with respiratory failure.Methods A total of 100 patients with respiratory failure admitted from May 2020 to February 2022 were selected.They were randomly divided into control group(conventional emergency rescue procedures of disease assessment,oxygen supply and medication)and observation group(conventional emergency rescue procedures plus optimized pre-hospital emergency procedure).The incidence of emergency accident,emergency error rate and emergency satisfaction of the two groups were compared.Results Significantly higher survival rate(96.00%vs 76.00%)was detected in the observation group than that of control group(P<0.05).The mortality(4.00%)and the incidence of sequelae(12.00%)in the observation group were significantly lower than those in the control group(P<0.05).After emergency treatment,the partial pressure of oxygen(PaO2)and pH of observation group were significantly higher than those of control group,and the partial pressure of carbon dioxide(PaCO2)was significantly lower(P<0.05).After emergency treatment,the percentage of forced expiratory volume in the first one second(FEV1%,[63.87±5.59]%),FEV1([1.81±0.15]L)and the ratio of the forced expiratory volume in the first one second to the forced vital capacity of the lungs(FEV1/FVC,[75.98±7.98]%)in the observation group were significantly better than those of the control group(P<0.05).The incidences of emergency accidents and errors in the observation group were significantly lower than those of the control group(P<0.05).Conclusion The optimized pre-hospital emergency procedure applied to patients with respiratory failure can significantly improve the comprehensive quality,reduce the emergency error rate and the incidence of emergency accidents by medical staff in emergency department.It ensures life safety of patients,and significantly improves emergency treatment effect and survival rate,worthy of promotion.

respiratory failureoptimized pre-hospital emergency procedurerespiratory functionarterial bloodsurvival rate

孙洪敏、赵静、张爱菊

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257000 山东省东营市东营区人民医院院感科

257000 山东省东营市东营区人民医院院护理部

257000 山东省东营市东营区人民医院院急诊科

呼吸衰竭 优化急救流程 呼吸功能 动脉血气 存活率

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(1)
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