院前急救配合介入治疗急性心肌梗死的临床效果

Clinical effects of pre-hospital emergency treatment combined with interventional therapy on acute myocardial infarction

目的观察急性心肌梗死患者行院前急救配合介入治疗的临床效果,为临床治疗方式的选择提供可靠依据。方法回顾性分析2017年3月至2019年3月同煤总医院收治的600例急性心肌梗死患者的相关资料,根据治疗方式进行分组。所有患者入院前均给予常规急救措施,将配合介入治疗的317例患者纳入观察组,行常规治疗的283例患者纳入对照组。观察并记录两组急救前与运送途中患者心率、呼吸、血压、血氧饱和度等指标差值的绝对值,比较除颤次数和住院时间,统计两组抢救成功率、并发症发生率以及猝死率。结果观察组急救前与运送途中患者的心率、呼吸、血压等指标差值绝对值均优于对照组,血氧饱和度差值绝对值低于对照组,除颤次数和住院时间少于对照组,差异有统计学意义(P<0.05)。观察组抢救成功率[95.90%(304/317)]高于对照组[81.98%(232/283)],P<0.05。观察组并发症发生率及猝死率低于对照组,差异有统计学意义(P<0.05)。结论院前急救配合介入治疗能够在短时间内有效改善急性心肌梗死患者的临床症状,有利于减少除颤次数、缩短住院时间,进而提高抢救成功率,减少相关并发症和猝死发生风险。

Objective To observe the clinical effects of pre-hospital emergency treatment combined with interventional therapy on patients with acute myocardial infarction,and to provide a reliable basis for the selection of treatment methods.Methods The clinical data from 600 patients with acute myocardial infarction admitted to General Hospital of Tongmei Group from March 2017 to March 2019 were retrospectively analyzed.And the patients were grouped by treatment methods.All patients were given emergency treatment before admission.A total of 317 patients with interventional therapy were included in the observation group,and 283 patients with conventional treatment were included in the control group.The absolute value of the difference in the heart rate,respiration,blood pressure,blood oxygen saturation and other indicators before emergency treatment and during transportation were observed and compared between the two groups.The number of defibrillation and hospital stay were compared between the two groups.The success rate of rescue,incidence of complications and rate of sudden death in the two groups were calculated.Results During delivery and before emergency treatment,the absolute differences of heart rate,respiration,blood pressure and other indicators of the observation group were superior to those of the control group,and the absolute difference of blood oxygen saturation was lower than that of the control group,however,the number of defibrillation and hospitalization time were less than those in the control group,with statistically significant differences(P<0.05).The success rate of rescue in the observation group was 95.90%(304/317),significantly higher than the 81.98%(232/283)in the control group(P<0.05),and the incidence of complications and sudden death rate were statistically lower than those in the control group(P<0.05).Conclusions Pre-hospital emergency treatment combined with interventional therapy in patients with acute myocardial infarction can effectively improve clinical symptoms in a short period of time,which is beneficial to reducing the number of defibrillation,shortening the length of hospital stay,improving the success rate of rescue,and reducing the risk of related complications and sudden death.