不同转运方式对主动脉夹层患者院内转运安全性的影响

Effects of Different Transportation Modes on Nosocomial Transportation Security for Aortic Dissection Patients

目的探讨不同转运方式对主动脉夹层(aortic dissection,AD)患者院内转运安全性的影响。方法回顾性分析2006年2月至2011年10月温州医学院附属第一医院急诊科转送至手术室、病房或检查室的96例主动脉夹层患者的临床资料。其中2006年2月至2009年2月采取传统转运方式47例,设为对照组;2009年3月至2011年10月采取改进转运方式49例,设为观察组。比较两组患者转运过程中疼痛加剧、心率、血压、血氧饱和度以及不良事件发生率。结果观察组患者转运过程中疼痛加剧者较少,且其心率、血压改变较小,血氧饱和度<95%者较少,不良事件总发生率较低,与对照组比较,差异均有统计学意义(P<0.05或P<0.01)。结论改进转运方式有助于提高主动脉夹层患者在院内转运的安全性。

Objective To compare the effects of different transshipment modes on nosocomial transporta- tion security in patients with aortic dissection（AD） in the hospital. Methods From February 2006 to Octo- ber 2011,the clinical data of 96 AD patients transferred to the ward or checkroom from the emergency department were retrospectively analyzed. From February 2006 to February 2009,47 patients with the tra- ditional transportation way were taken as control group. From March 2009 to October 2011,49 AD patients who adopted the improved transportation way were taken as observational group. Comparisons were con- ducted on the exacerbated pain, changes of heart rate, blood pressure, oxygen saturation and adversecardiac events between two groups during transportation in the hospital. Results Compared with the control group, there were fewer exacerbated pain cases, and significantly less changes of heart rate, blood pressure, oxygen saturation （〈95%）and total incidence of adverse events in the observational group（P〈0.05 or P〈0. 01）. Conclusion Improved transportation mode helps improve the nosocomial transportation security of AD patients.