院前不同急救转运时间对急性心肌梗死患者预后的影响探讨

Effect of different prehospital emergency transport time on the prognosis of patients with acute myocardial infarction

目的探讨院前不同急救转运时间对急性心肌梗死患者预后的影响。方法将2018年2月—2019年8月期间我中心急救的88例急性心肌梗死患者分为对照组和研究组,对照组(n=42)为院前急救转运平均时间≥30 min的就诊患者,研究组(n=46)为院前急救转运平均时间<30 min的就诊患者。比较2组治愈率、病死率、并发症发生率。结果研究组治愈率为82.61%、病死率为4.35%、并发症发生率为4.35%,对照组治愈率为47.62%、病死率为21.43%、并发症发生率为33.33%,差异具有统计学意义(P<0.05)。结论及时有效的院前急救、有效缩短转运时间对急性心肌梗死患者具有积极意义,能够改善预后,应予以重视。

Objective To explore the effect of different emergency transfer times before hospitalization on the prognosis of patients with acute myocardial infarction.Methods 88 patients with acute myocardial infarction in our center from February 2018 to August 2019 were divided into the control group and the study group,and the control group(n=42)was the patients who received pre-hospital emergency transfer for an average time of 30 minutes or more.The study group(n=46)were all patients who received pre-hospital emergency transfer with an average time of≤30min.The cure rate,mortality rate,and probability of complications were compared between the two groups.Results The cure rate of the study group was 82.61%,the mortality rate was 4.35%,and the incidence of complications was 4.35%,which were better than the control group.The cure rate was 47.62%,the mortality rate was 21.43%,and the incidence of complications was 33.33%.It has statistical significance(P<0.05).Conclusion Timely and effective pre-hospital emergency treatment and effective shortening of transit time have positive significance for patients with acute myocardial infarction and can improve the prognosis of patients,which should be paid attention to.