扁鹊飞救系统在边远山区胸痛患者院前急救中的作用分析

Analysis of the Role of Bian Que Flying Salvation System in Prehospital First Aid in Patients with Chest Pain in Remote Mountain Areas

目的观察对于边远山区胸痛患者采用扁鹊飞救系统在院前急救的作用。方法将2014年1月—2016年7月该院胸痛中心收治边远山区胸痛患者207例设置为对照组,于2016年8月,该院引进扁鹊飞救系统,应用于2016年8月—2017年11月收治的边远山区另204例胸痛患者的救治上,设置为实验组。分析两组急诊后相关指标、不良事件发生率与抢救成功率。结果实验组急诊停留、分诊评估、转运、急救及住院时间明显少于对照组,实验组不良事件发生率为1.47%,抢救成功率为100.00%,而对照组不良事件发生率为17.39%,抢救成功率为86.96%,差异有统计学意义(P<0.01)。结论对于边远山区胸痛患者采用扁鹊飞救系统在院前急救,可有效缩短患者急救抢救时间、与转运时间,降低不良事件发生,进而提高急诊抢救成功率,效果理想,值得临床推广。

Objective This paper tries to observe the effect of Bian Que rescue system on pre hospital care in patients with chest pain in remote mountainous areas. Methods 207 patients with chest pain in remote mountain areas were set as a control group in this hospital（January 2014-July 2016）; 204 patients with chest pain in remote mountainous areas was set as the experimental group introduced Bian Que flying rescue system（August 2016-November, 2017）. After the two groups of emergency, the related indicators, the incidence of adverse events and rescue success rate were analyzed and compared.Results In the experimental group, the emergency stop, triage assessment, transshipment, first aid and hospital stay were significantly less than the control group, the incidence of adverse events in the experimental group was 1.47%, the successful rescue rate was 100.00%, while the incidence of adverse events in the control group was 17.39% The success rate was 86.96%, the difference was statistically significant（P〈0.01）. Conclusion For remote mountain patients with chest pain using Bian Que flying rescue system in front of the hospital first aid, which can effectively shorten the emergency rescue time,transport time and reduce the occurrence of adverse events, thereby increasing the emergency rescue success rate, the effect is ideal, worthy of clinical promotion.