急性心肌梗死合并急性左心衰患者采用不同院前急救方式的临床效果观察

Clinical effect observation of different pre-hospital emergency way in the treatment of acute myocardial infarction patients complicated with acute left heart failure

目的探讨不同院前急救方式对急性心肌梗死合并急性左心衰患者的临床疗效。方法将84例急性心肌梗死合并急性左心衰患者随机分为观察组和对照组,各42例。观察组采用先救治后转运的急救方式,对照组采用先转运后救治的方式,观察两组患者的救治效果。结果观察组的救治效果及生存情况均明显优于对照组,而并发症及死亡发生率明显低于对照组,差异均有统计学意义(P<0.05)。结论对急性心肌梗死合并急性左心衰竭患者采用先救治后转运的急救方式,可以提高患者救治有效率及生存率,减少院前并发症及死亡情况的发生。

Objective To discuss the clinical effects of different pre-hospital first aids in acute myocardial infarction patients complicating with acute left heart failure. Methods Eighty-four cases of patients with acute myocardial infarction complicated with acute left heart failure were randomly divided into observation group （42 cases） and control group （42 cases）. The observation group received emergency transfer after the first treatment, while the control group accepted the method of transfer before treatment. The treatment efficacy was observed in the two groups. Results The treatment efficacy and survival rate of the observation group were significantly superior to those of the control group, the incidence rate of complications and death obviously lower than those of the control group （P〈0.05）. Conclusion The first-aid treatment before transport emergency method applied in patients with acute myocardial infarction complicating acute left heart failure can improve clinical efficacy and survival rate, and reduce the pre-hospital complications and death cases.