急诊集束化治疗急性心力衰竭对患者预后的影响

Influence of Emergency Bundle Treatment of Acute Heart Failure Syndrome on Prognosis

目的研究急诊早期集束化治疗急性心力衰竭综合征(AHFS)对患者预后的影响。方法回顾分析118例AHFS患者的临床资料,根据治疗手段将其分为集束化治疗组与常规治疗组,以急诊室治疗时间、气短缓解时间、住院周期、住院病死率和气管插管率为观察指标,探讨集束化治疗对严重急性左心衰竭患者预后的影响。结果集束化组急诊室治疗时间长于常规治疗组,气短缓解时间短于常规治疗组,差异均有统计学意义(P<0.01);集束化组住院病死率为3.3%,低于常规治疗组的15.5%(P<0.05);集束化组气管插管率为6.7%,低于常规治疗组的20.7%(P<0.05)。结论AHFS的集束化治疗较常规的治疗方法气短缓解更快,能有效降低病死率及气管插管率,对改善AHFS预后有重要意义。

Objective To investigate the prognosis of emergency bundle treatment of acute heart failure syndrome patient. Methods Retrospective analysis of clinical data of 118 patients with AHFS was conducted,patients were divided into cluster treatment group and routine treatment group,the emergency room treatment time, shortness of breath, remission duration of hospi- talization period, hospital mortality and tracheal intubation rate were observed. Results The bundle group had significantly（P 〈 O. 05 ） longer duration of therapy and significantly（P 〈 0.05 ） shorter relief time for short breath than those of routine treatment group. The bundle group had an in-hospital mortality of 3.3 % , which was significantly （ P 〈 0.05 ） lower than that of routine treat-ment group（ 15.5% ）. The bundle group had a trachea cannula rate of 6.7% ,which was significantly（ P 〈0.05 ） lower than that of the routine treatment group（20.7% ）. Conclusion Bundle treatment for acute heart failure showed better clinic effect than regular treatment, and thus it was favorable for improving prognosis.