院前急救在急性高危胸痛患者救治中的效果及对患者并发症发生率的影响

Effect of Pre-hospital Emergency Treatment on Acute High-Risk Chest Pain Patients and the Influence on the Incidence of Complications

目的探讨院前急救在急性高危胸痛患者救治中的效果及对患者并发症发生率的影响。方法回顾性分析2020年1月至2021年3月我院收治的300例急性高危胸痛患者的临床资料,随机分为观察组与对照组各150例。对照组采取常规救治,观察组则采取院前急救,对比两组患者的救治效果。结果观察组发病到确诊时间、发病到治疗时间、住院时间均明显短于对照组(P<0.05)。观察组14 d生存率为96.67%,明显高于对照组的89.33%(P<0.05)。观察组的心力衰竭、心源性休克、恶性心律失常发生率分别为14.00%、11.33%;8.00%,明显低于对照组的30.00%、27.33%、18.67%(P<0.05)。结论对急性高危胸痛者实施院前急救,可缩短患者的救治时间,提高其生存率,降低并发症发生率。

Objective To explore the effect of pre-hospital emergency treatment on acute high-risk chest pain patients and the influence on the incidence of related complications.Methods The clinical treatment data of 300 acute high-risk chest pain patients admitted to our hospital from January 2020 to March 2021 were retrospectively analyzed,and randomly divided into observation group and control group,with 150 cases in each group.The control group received conventional treatment,while the observation group received pre-hospital emergency treatment.The treatment effect was compared between the groups.Results The time from onset to diagnosis,time from onset to treatment and hospitalization time in the observation group were significantly shorter than those in the control group(P<0.05).The 14-day survival rate of the observation group was 96.67%,significantly higher than 89.33%of the control group(P<0.05).The incidences of heart failure,cardiogenic shock and malignant arrhythmia in the observation group were 14.00%,11.33%and 8.00%respectively,significantly lower than 30.00%,27.33%and 18.67%in the control group(P<0.05).Conclusions Pre-hospital emergency treatment for acute high-risk chest pain patients can shorten the treatment time,improve the survival rate,and reduce the incidence of complications.