院前急救干预在急性冠脉综合征患者中的临床效果观察

Observation on the clinical effect pre- hospital emergency intervention in patients with acute coronary syndrome

目的观察分析院前急救干预在急性冠脉综合征患者中的临床效果。方法本次研究对象为2014年1月至2015年12月间在本院接受治疗的急性冠脉综合征患者60例,采用随机偶数奇数法将其分成观察组(n=30例)与对照组(n=30例),采用常规救治法给予对照组患者进行救治,观察组患者采用常规救治法+院前急救干预。观察两组研究对象的预后效果。结果观察组患者胸痛改善情况显著优于对照组患者,两组比较差异有统计学意义,(P<0.05)。观察组患者的心律失常和心力衰竭的发生率以及死亡率均低于对照组患者,两组比较差异有统计学意义,(P<0.05)。观察组患者的肌钙蛋白(e Tn T、e Tn I)、C-反应蛋白(CRP)和肌红蛋白(Mb)检测指标均优于对照组患者,两组比较差异有统计学意义,(P<0.05)。结论急性冠脉综合征患者采用院前急救干预疗效显著,有效的降低了病死率,提高了患者的预后效果,值得推广应用。

Objective To observe the clinical effect of pre-hospital emergency intervention in patients with acute coronary syndrome.Methods The research objects including 60 cases of patients with acute coronary syndrome （acs）, the hospitalized and got therapy in our hospital during January 2014 and December 2015. By using the random even odd number method the objects were divided into observation group （ n = 30 cases） and control group （n = 30）. The patients in control group received conventional treatment method for treatment, while patients in observation group using conventional treatment plus pre-hospital emergency intervention. To observe the effect and the prognosis of the two groups. Results The improvement of chest pain in observation group was significantly better than that of the control group, the difference between the two groups have statistical significance ,P〈0.05. The occurrence rate of cardiac arrhythmias and heart failure and mortality rate in observation group were lower than the control group, differences between the two groups were statistically significant,P〈0.05. The test indicators including troponin （eTnT, eTnI）, C- reactive protein （CRP） and myoglobin （Mb） of observation group were better than the control group, and the difference were statistically significant, P〈0. 05. Conclusions The curative effect of pre-hospital emergency intervention for patients with acute coronary syndromes is distinct. It can effectively reduce the fatality rate and improve the prognosis for patients. It is worthy of popularization and application.