规范胸痛急救流程对胸痛患者确诊时间、辅助检查应用的影响

The influence of standardized emergency procedures for chest pain on the time of diagnosis and the application of auxiliary examination in chest pain patients

目的 探析胸痛患者应用规范胸痛急救流程对确诊时间及辅助检查应用的影响。方法 96例胸痛患者,以抛硬币法分为对照组与观察组,每组48例。对照组患者实施常规胸痛急救流程,观察组患者实施规范胸痛急救流程。比较两组患者病因分布情况以及确诊时间、辅助检查应用情况。结果 两组主动脉夹层、急性肺栓塞、不稳定型心绞痛、非ST段抬高型心肌梗死(心梗)、ST段抬高型心梗分布情况比较,差异均无统计学意义(P>0.05)。观察组主动脉夹层、急性肺栓塞、不稳定型心绞痛、非ST段抬高型心梗、ST段抬高型心梗病因确诊时间分别为(456.34±30.57)、(478.35±30.78)、(94.35±10.13)、(149.79±18.24)、(23.68±4.13)min,均短于对照组的(603.67±35.48)、(587.12±32.85)、(108.67±12.67)、(175.24±20.58)、(33.54±5.25)min,差异均具有统计学意义(P<0.05)。观察组心电图、心肌酶、肌钙蛋白、超声心动图首次使用完成时间分别为(9.56±2.13)、(65.24±7.34)、(63.68±7.35)、(389.46±30.35)min,短于对照组的(13.57±3.23)、(77.35±7.81)、(72.57±7.68)、(437.58±35.64)min,差异均具有统计学意义(P<0.05)。结论 规范胸痛急救流程的应用效果十分显著,能够尽早确定胸痛患者病因,从而给予及时、有效的治疗,确保患者生命安全。

Objective To discuss and analyze the influence of standardized emergency procedures for chest pain on the time of diagnosis and the application of auxiliary examination in chest pain patients.Methods A total of 96 patients with chest pain were divided into the control group and the observation group by coin tossing,with 48 cases in each group.Patients in the control group implemented the routine emergency procedures for chest pain,and patients in the observation group implemented the standardized emergency procedures for chest pain.The distribution of the causes,the time of diagnosis,and the application of auxiliary examinations were compared between the two groups.Results There was no statistically significant difference in the distribution of aortic dissection,acute pulmonary embolism,unstable angina,non-ST-segment elevation myocardial infarction,and ST-segment elevation myocardial infarction between the two groups(P>0.05).In the observation group,the time of diagnosis for aortic dissection,acute pulmonary embolism,unstable angina,non-ST-segment elevation myocardial infarction,ST-segment elevation myocardial infarction were(456.34±30.57),(478.35±30.78),(94.35±10.13),(149.79±18.24),(23.68±4.13)min,which were shorter than(603.67±35.48),(587.12±32.85),(108.67±12.67),(175.24±20.58),(33.54±5.25)min in the control group,and the difference was statistically significant(P<0.05).The complete time of electrocardiogram,myocardial enzymes,troponin,and echocardiography in the observation group were(9.56±2.13),(65.24±7.34),(63.68±7.35),(389.46±30.35)min,which were shorter than(13.57±3.23),(77.35±7.81),(72.57±7.68),(437.58±35.64)min in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of standardized emergency procedures for chest pain is very effective in identifying the cause of the patient’s disease as early as possible,so that timely and effective treatment can be given to ensure the patient’s life safety.