不同院前处置对急性呼吸衰竭患者预后的影响

Effects of different pre-hospital treatments on prognosis of patients with acute respiratory failure

目的 探讨不同的院前处置对急性呼吸衰竭患者预后的影响。方法 选择2015年4月至2017年3月实施院前急救后入住本院的呼吸衰竭患者100例,按照随机数字法分为观察组与对照组,各50例。观察组实施综合院前急救措施,对照组则以常规院前急救,比较两组入院后使用呼吸机治疗及总住院时间,分析入院时患者圣乔治呼吸问卷综合评分(SGRQ评分)变化情况,统计两组院前抢救成功率及病死率。结果 观察组使用呼吸机治疗时间、总住院时间少于对照组(均P<0.05);观察组入院时SGRQ评分低于对照组(P<0.05),同时低于干预前(P<0.05);观察组院前急救中抢救成功率为90.0%,显著高于对照组的50.0%(χ2=12.769,P<0.05)。结论 针对急性呼吸衰竭患者实施有效的院前急救,可缩短患者住院期间呼吸机使用时间和住院时间,提高患者呼吸相关生活质量,降低病死率。

Objective To investigate the effects of different pre-hospital treatments on the prognosis of patients with acute respiratory failure.Methods 100 patients with respiratory failure admitted into our hospital from April,2015 to March,2017 were enrolled in this study.They were divided into an observation group and a control group using random number method,50 cases for each group.The observation groups took comprehensive pre-hospital treatment,and the control group routine pre-hospital treatment.The ventilator treatment time and hospital stay were compared between these two groups.The SGRQ scores(SGRQ)between the two groups before and after admission were analyzed.The rescue success rates and mortalities in both groups were calculated.Results The ventilator treatment time and hospital stay were shorter in the observation group than in the control group(both P<0.05).The SGRQ score was lower at the time of admission than before the intervention in the observation group,and was lower in the observation group than in the control group at the time of admission(P<0.05).The rescue success rate was 90.0%in the observation group,and was 50.0%in the control group(χ2=12.769,P<0.05).Conclusion Effective pre-hospital first aid for patients with acute respiratory failure can shorten the time of ventilator use and hospitalization time,improve their quality of life,and reduce the mortality