冠心病心肌梗死患者院前急救治疗的临床价值

Clinical value of pre-hospital emergency treatment in patients with coronary heart disease and myocardial infarction

目的分析冠心病心肌梗死患者院前急救治疗的临床价值。方法选取我院2015年6月至2018年4月收治的74例冠心病心肌梗死患者为研究对象,按不同的急救方式将其分为参照组与治疗组,各37例。参照组患者自行来院后接受常规心脏复苏、吸氧等院内急救治疗,治疗组患者则是在入院前接受急救医生的院前治疗措施后,再接入医院进行院内继续治疗。比较两组的救治效果。结果治疗组共35例患者行院前急救治疗成功,院前急救治疗率为94.59%。急救成功的35例治疗组患者在转入医院治疗后,其院内急救治疗成功率为94.29%,显著高于参照组的75.68%,差异有统计学意义(P<0.05)。治疗组的出诊时间、抢救时间、心梗消失时间、心电图恢复正常时间及救治总时间均显著短于参照组,差异有统计学意义(P<0.05)。结论给予冠心病心肌梗死患者及时有效的院前急救治疗可延缓其病情加重恶化,降低死亡率,提高抢救成功率,为患者争取一定的生存时间,值得临床推广与应用。

Objective To analyze the clinical value of pre-hospital emergency treatment in patients with coronary heart disease and myocardial infarction.Methods A total of 74 patients with coronary heart disease and myocardial infarction treated in our hospital from June 2015 to April 2018 were selected as the study objects.The patients were divided into reference group and treatment group according to different ways of first aid.The reference group received routine in-hospital emergency treatment such as cardiac resuscitation and oxygen inhalation after patients came to hospital on their own,while the patients in the treatment group received pre-hospital treatment by the first aid doctor before admission,and then went to the hospital for further treatment.The curative effects of two groups were compared.Results Thirty-five patients in the treatment group received pre-hospital emergency treatment successfully,and the pre-hospital emergency treatment rate was 94.59%.The success rate of in-hospital first aid treatment was 94.29%in 35 patients in the treatment group after being transferred to the hospital,which was significant higher than 75.68%in the reference group,and the difference was statistically significant(P<0.05).The visiting time,rescue time,disappearance time of myocardial infarction,recovery time of electrocardiogram and total treatment time in the treatment group were significantly shorter than those in the reference group,and the differences were statistically significant(P<0.05).Conclusion Timely and effective pre-hospital emergency treatment for patients with coronary heart disease and myocardial infarction can delay the aggravation and deterioration of the disease,reduce the mortality,it can improve the success rate of rescue and obtain a certain survival time for patients,which is worthy of clinical popularization and application.