急性ST段抬高型心肌梗死的院前急救有效性及不良事件发生率探析

Effectiveness of prehospital first aid and incidence of adverse events in patients with acute ST segment elevation myocardial infarction(STEMI)

目的:探讨急性ST段抬高型心肌梗死(STEMI)的院前急救有效性及不良事件发生率。方法:2015年6月-2017年6月收治急性STEMI患者40例,作为对照组,采用常规院前急救流程。2018年6月-2020年6月收治急性STEMI患者40例,作为观察组,采用胸痛中心与院前急救系统共同制定的优化急救预案。比较两组临床效果。结果:观察组恢复吸氧时间、心肺复苏时间、气管插管时间及抢救时间均短于对照组,差异有统计学意义(P<0.05);观察组不良事件发生率低于对照组,差异有统计学意义(P<0.05);观察组抢救成功率高于对照组,差异有统计学意义(P<0.05);观察组生活质量各项评分均高于对照组,差异有统计学意义(P<0.05)。结论:对急性ST段抬高型心肌梗死患者采用胸痛中心与院前急救共同制定的优化急救预案进行院前急救,可获良好的应用效果。

Objective:To explore the effectiveness of prehospital first aid and incidence of adverse events in patients with acute ST segment elevation myocardial infarction(STEMI).Methods:From June 2015 to June 2017,40 patients with acute STEMI were selected as the control group.The routine pre hospital first aid process was used.From June 2018 to June 2020,40 patients with acute STEMI were selected as the observation group.The optimized emergency plan developed by chest pain center and pre hospital emergency system was used.We compared the clinical effects of the two groups.Results:In the observation group,the recovery time of oxygen inhalation,cardiopulmonary resuscitation time,tracheal intubation time and rescue time were shorter than those in the control group,the difference was statistically significant(P<0.05).The incidence of adverse events in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The success rate of rescue in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The scores of quality of life in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05).Conclusion:For patients with acute ST segment elevation myocardial infarction,the optimized emergency plan developed by chest pain center and pre hospital emergency system can obtain good application effect.