主动脉夹层院前急救与转运标准化流程探索

Exploration of standardized process of pre-hospital emergency treatment and transportation for aortic dissection

目的探索主动脉夹层患急救转运标准化流程,以期提高主动脉夹层患者院前急救转运效能。方法回顾性分析2022年1月—12月连云港市急救中心转运的主动脉夹层患者49例,实行标准化转运方案;同时选取2019年1月—2020年1月的连云港市急救中心转运的主动脉夹层患者40例,实行传统转运方案。比较两组的转运成功率、生命体征达标率、并发症发生率。结果实验组49例患者转运成功48例,转运成功率为97.96%;对照组40例患者转运成功30例,转运成功率为75.00%,差异有统计学意义(P<0.05)。实验组的收缩压达标率为91.84%,心率达标率为89.80%,明显高于对照组的75.00%、67.50%(P<0.05);实验组的并发症发生率为10.20%,明显低于对照组的30.00%,差异有统计学意义(P<0.05)。结论主动脉夹层标准化急救转运流程的实施,可降低主动脉夹层患者长途转运风险,提高主动脉夹层患者长途转运的成功率。

Objective To explore the standardized procedure of emergency transport for patients with aortic dissection and improve the efficiency of pre-hospital emergency transport for patients with aortic dissection.Methods A retrospective analysis of 49 patients with aortic dissection transported by Lianyungang Emergency Center from January to December 2022 was performed,and a standardized transport plan was implemented.At the same time,40 patients with aortic dissection transported by Lianyungang Emergency Center from January 2019 to January 2020 were selected to implement the traditional transport scheme.The success rate of transport,the rate of vital signs and the incidence of complications were compared between the two groups.Results In the experimental group,49 patients were successfully transported in 48 cases,and the success rate was 97.96%.In the control group,30 of the 40 patients were successfully transported,and the success rate was 75.00%.The difference was statistically significant(P<0.05).The systolic blood pressure compliance rate of the experimental group was 91.84%,and the heart rate compliance rate was 89.80%,which was significantly higher than 75.00%and 67.50%of the control group(P<0.05).The incidence of complications in the experimental group was 10.20%,which was significantly lower than 30.00%in the control group,the difference was statistically significant(P<0.05).Conclusion The implementation of standardized emergency transport procedures for aortic dissection can reduce the risk of long-distance transport and improve the success rate of longdistance transport for patients with aortic dissection.