急性心梗患者院前急救策略探讨

Discussion on Pre-hospital Emergency Strategy for Patients with Acute Myocardial Infarction

目的探讨急性心梗患者院前急救的策略,并对其方法进行评价。方法选择该院自2017年1月-2018年12月期间收治的急性心梗患者46例,对其病历资料进行回顾性分析,根据患者是否拨打急救电话将其分为参照组与研究组,每组23例,其中参照组患者为发病后未拨打急救电话直接进入医院抢救的患者;研究组为发病后立即拨打急救电话并进行院前救治的患者,观察并对比两组患者治疗预后的情况以及并发生发生率。结果两组患者在不同急救方式干预下,研究组患者存活率为91.3%,明显优于参照组的65.2%,差异有统计学意义(χ^2=4.60,P<0.05);研究组通过院前急救与入院治疗,其治疗期间并发症发生率为13.0%,参照组在入院治疗后,其治疗期间并发症发生率为39.1%,两组数据对比差异有统计学意义(χ^2=4.06,P<0.05)。结论急性心梗患者在其发病时应及时拨打急救电话,进行院前救治,能够有效降低患者并发症发生率,改善患者生活质量与预后效果,临床价值显著,值得广泛应用。

Objective To explore the strategy of pre-hospital first aid in patients with acute myocardial infarction and evaluate its method. Methods Forty-six patients with acute myocardial infarction admitted to our hospital from January 2017 to December 2018 were retrospectively analyzed. According to whether the patient dialed the emergency number, they were divided into reference group and research group. There were 23 cases in each group, among which the reference group patients were patients who did not call the emergency telephone directly after entering the hospital for rescue;the research group immediately dialed the emergency telephone and performed pre-hospital treatment for the patients, and observed and compared the prognosis situation and the incidence of occur-rence of the two groups. Results The survival rate of the study group was 91.3% under the intervention of different first-aid methods,which was significantly better than the 65.2% of the reference group. The difference was significant, which was statistically significant(χ~2=4.60,P<0.05). Through pre-hospital first aid and admission treatment, the complication rate during treatment was 13.0%. After the admission group was treated, the complication rate during the treatment was 39.1%. The difference between the two groups was significant. Statistical significance(χ~2=4.06,P<0.05). Conclusion Patients with acute myocardial infarction should make emergency call in time to carry out pre-hospital treatment, which can effectively reduce the incidence of complications and improve the quality of life and prognosis of patients. The clinical value is significant and worthy of wide application.