中华灾害救援医学2024,Vol.11Issue(7) :800-802.DOI:10.13919/j.issn.2095-6274.ZHJY202406023

院前急救在高危胸痛患者救治中的应用效果分析

Analysis of the Application Effectiveness of Pre-Hospital Emergency Care in the Treatment of High-Risk Chest Pain Patients

谢立志 陈秋虾
中华灾害救援医学2024,Vol.11Issue(7) :800-802.DOI:10.13919/j.issn.2095-6274.ZHJY202406023

院前急救在高危胸痛患者救治中的应用效果分析

Analysis of the Application Effectiveness of Pre-Hospital Emergency Care in the Treatment of High-Risk Chest Pain Patients

谢立志 1陈秋虾2
扫码查看

作者信息

  • 1. 363000 福建漳州,漳州市急救中心急救科
  • 2. 363000 福建漳州,漳州市疾病预防控制中心检验科
  • 折叠

摘要

目的 探索院前急救方案在高危胸痛急救过程中的应用效果.方法 将2021年6月至2023年6月由漳州市急救中心收治的90例高危胸痛患者,采用随机数字表法分为观察组与对照组,每组各45例.观察组采取院前急救服务,对照组采取常规急救,对比两组患者的抢救时间、不良结局及临床疗效.结果 观察组发病到急诊时间、发病到病情确诊时间、平均住院时间均显著短于对照组(P值均<0.001).观察组并发症发生率为24.44%,死亡率为8.89%,对照组的并发症发生率为48.89%,死亡率为33.33%,观察组的并发症发生率及死亡率均显著低于对照组(P<0.005).观察组的临床有效率为97.78%,显著高于对照组的82.22%,差异有统计学意义(P=0.014).结论 院前急救服务可有效缩短高危胸痛患者急救时间,降低不良结局的发生率,提高抢救的有效率.

Abstract

Objective To explore the application effectiveness of pre-hospital emergency protocols in the management of high-risk chest pain emergencies.Methods From June 2021 to June 2023,90 high-risk chest pain patients treated at the Zhangzhou Emergency Center were randomly divided using a numerical table method into the observation group(n=45)and the control group(n=45).The observation group received pre-hospital emer-gency services,while the control group received conventional emergency care.Rescue time,adverse outcomes,and clinical efficacy were compared between the two groups.Results The observation group showed significantly shorter onset to emergency department arrival time,onset to diagnosis confirmation time,and average hospital stay time compared to the control group(P<0.00l for all).The incidence of complications in the observation group was 24.44%,with a mortality rate of 8.89%,significantly lower than the control group's complication rate of 48.89%and mortality rate of 33.33%(P<0.005).The clinical effective rate in the observation group was 97.78%,signifi-cantly higher than that in the control group(82.22%)(P=0.014).Conclusion Pre-hospital emergency services effectively reduce rescue times for high-risk chest pain patients,lower the incidence of adverse outcomes,and im-prove rescue effectiveness.

关键词

急救医疗服务/胸痛/临床方案

Key words

emergency medical services/chest pain/clinical protocols

引用本文复制引用

出版年

2024
中华灾害救援医学

中华灾害救援医学

影响因子:0.796
ISSN:
段落导航相关论文