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急诊非创伤胸痛患者开展标准化急诊预检分诊的价值分析

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目的 探讨标准化急诊预检分诊模式在急诊非创伤性胸痛患者救治中的应用价值。方法 选取 2019 年 9 月—2021 年 7月福建医科大学附属第二医院未开展标准化急诊预检分诊模式时急诊接诊的 100 例非创伤性胸痛患者为对照组,选取 2021年8月—2023年7月福建医科大学附属第二医院开展标准化急诊预检分诊模式后接诊的 100 例非创伤性胸痛患者为研究组。比较 2 组患者预检分诊时间、首份心电图时间、开放静脉通路时间、口服给药时间、床旁即时检验(point-of-care testing,POCT)+检验报告时间等各项急救策略实施时间差异,对2 组患者实施随访,比较 2 组急性心肌梗死(acute myocardial infarction,AMI)、二次经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)手术率以及ST段降低率差异,比较 2 组患者预检分诊准确率以及不良事件发生率差异。结果研究组患者的预检分诊时间、首份心电图时间、开放静脉通路时间、口服给药时间以及床旁POCT+检验报告时间均短于对照组,差异有统计学意义(P<0。05);研究组患者的AMI复发率、二次PCI手术率以及ST段降低率均低于对照组(P<0。05);2 组患者在预检分诊准确率方面差异无统计学意义(P>0。05);研究组不良反应总发生率为 1。00%(1/100),低于对照组的 6。00%(6/100)(P<0。05)。结论 将标准化急诊预检分诊制度应用于急诊中效果肯定,对缩短患者抢救时间、提高抢救效率具有积极意义,且标准化急诊预检分诊制度并不会降低预检分诊准确率,还有助于降低非创伤性胸痛患者不良反应发生率。
Analysis on the Value of Standardized Emergency Pre-Examination and Triage for Emergency Patients With Non-Traumatic Chest Pain
Objective To explore the application value of standardized emergency pre-examination triage model in the treatment of emergency patients with non-traumatic chest pain.Methods A total of 100 patients with non-traumatic chest pain admitted to the Second Affiliated Hospital of Fujian Medical University from September 2019 to July 2021 were selected as the control group,and 100 patients with non-traumatic chest pain admitted to the Second Affiliated Hospital of Fujian Medical University from August 2021 to July 2023 were selected as the research group.The differences in the implementation time of various emergency strategies,such as pre-examination triage time,first ECG time,open venous access time,oral administration time,point-of-care testing(POCT)+ test report time were compared between the two groups.The patients in the two groups were followed up to compare the rates of acute myocardial infarction(AMI),secondary percutaneous coronary intervention(PCI)and ST segment reduction between the two groups.The accuracy of pre-detection triage and the incidence of adverse events were compared between the two groups.Results The pre-test triage time,first ECG time,open venous access time,oral administration time and POCT+ test report time of patients in the study group were shorter than those in the control group,with significant differences among groups(P<0.05).AMI recurrence rate,PCI rate and ST segment reduction rate in the study group were lower than those in the control group(P<0.05).There was no significant difference in the accuracy of pre-detection triage between the two groups(P>0.05).The total incidence of adverse reactions in the study group was 1.00%(1/100),lower than 6.00%(6/100)in the control group(P<0.05).Conclusion The application of standardized emergency pre-examination triage system in emergency department has positive effects,which has positive significance in shortening the rescue time and improving the rescue efficiency of patients.Moreover,standardized emergency pre-examination triage system does not reduce the accuracy of pre-examination triage,but also helps to reduce the incidence of adverse reactions in patients with non-traumatic chest pain.

standardizationemergency pre-examination triagenon-traumatic chest painadverse reactionsrescue effectrescue efficiency

徐银凤、郑晓含

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福建医科大学附属第二医院急诊科,福建 泉州 362000

标准化 急诊预检分诊 非创伤性胸痛 不良反应 抢救效果 抢救效率

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(8)
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