不同院前急救方案对急性心肌梗死合并心衰患者的急救效果及预后的影响

Effects of different pre-hospital emergency treatment programs on the efficacy and prognosis in patients with acute myocardial infarction and heart failure

目的探究不同院前急救方案对急性心肌梗死合并心衰患者的急救效果及预后的影响。方法选取2018年3月至2020年2月收入我院急诊医学科治疗的急性心肌梗死合并心衰患者86例,采用随机数字表法分为观察组(43例)与对照组(43例),对照组采取先治疗后转运,观察组采取边治疗边转运。观察两组治疗后对急性心肌梗死合并心衰患者的心功能分级(NYHA)及呼吸衰竭、心跳骤停、死亡的发生率。结果观察组总有效率97.21%高于对照组总有效率84.78%,差异具有统计学意义(P<0.05)。观察组并发症发生率11.62%低于对照组并发症发生率53.48%,差异具有统计学意义(P<0.05)。结论边治疗边转运的院前急救方案有效的控制了患者的病情发展,提高了急救效果,改善了患者的预后情况。

Objective To explore the effects of different pre-hospital emergency treatment programs on the emergency results and prognosis in patients with acute myocardial infarction and heart failure.Methods From March 2018 to February 2020,86 patients with acute myocardial infarction and heart failure who were admitted to the emergency medicine department of our hospital were divided into observation group(43 cases) and control group(43 cases) by random number table method.The control group was treated with treatment afterbefore transport, and the observation group was treated with concurrent treatment andtransport.The New York Heat Academy(NYHA) classification, and incidence of respiratory failure, cardiac arrest, and death in patients with acute myocardial infarction and heart failure after treatment were recorded in both groups.Results The total effective rate in the observation group was higher than that in the control group(97.21% vs.84.78,P<0.05).The incidence of complications in the observation group was lower than that in the control group(11.62% vs.53.48,P<0.05).Conclusion The program of concurrent treatment and transport effectively controls the development of the condition, improves the emergency effect and the prognosis.