不同院前急救方式对急性心肌梗死合并急性左心衰竭的急救效果
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摘要
目的:探讨不同院前急救方式对急性心肌梗死合并急性左心衰竭的急救效果。方法:收集2016年1月至2018年3月接诊的急性心肌梗死合并急性左心衰竭患者84例,按照院前急救方式不同分为观察组44例和对照组40例。对照组采用现场吸氧、心电图监护、舌下含服硝酸甘油后,即刻转移至救护车转运,在转运过程中进行抢救。观察组采用先救治后转运。观察两组治疗效果、心率、呼吸、血压情况、入院前并发症发生情况。结果:观察组总有效率为86.36%(38/44),高于对照组的65.00%(26/40,P <0.05)。观察组心率和呼吸分别为(109.87±14.12)次/min和(22.94±1.44)次/min,对照组分别为(118.27±15.36)次/min和(25.49±1.88)次/min,组间差异有统计学意义(P <0.05)。观察组入院前并发症发生率为11.36%(5/44),对照组为40.00%(16/40),组间差异有统计学意义(P <0.05)。两组血压情况差异无统计学意义(P> 0.05)。结论:对急性心肌梗死合并急性左心衰竭患者实施先救治后转运的救治方式可以提高救治效果,改善患者的心率、呼吸水平,还有利于降低入院前并发症的发生率。
Objective: To explore the first aid effect of different pre-hospital first aid methods on acute myocardial infarction complicated with acute left heart failure. Methods: From January 2016 to March 2018 84 patients with acute myocardial infarction complicated with acute left heart failure were collected, and according to different ways of pre-hospital first aid divided into an observation group with 44 cases and a control group with 40 cases. After being treated with on-site oxygen inhalation, ECG monitoring, and sublingual nitroglycerin, and the control group was immediately transferred to the ambulance for transport, and rescued during the transshipment process. The observation group was treated first and then transported. The effects of treatment, heart rate, respiration, blood pressure, and complications before admission were observed. Results: The total effective rate of the observation group was 86.36%(38/44), which was higher than that of the control group 65.00%(26/40, P < 0.05). The heart rate and respiratory rate of the observation group were(109.87 +14.12) times/min and(22.94 +1.44) times/min, respectively, while those of the control group were(118.27 +15.36) times/min and(25.49(+1.88) times/min, respectively,and there was a significant difference between the two groups(P < 0.05). The incidence of complications before admission was11.36%(5/44) of the observation group and 40.00%(16/40) of the control group, and there was significant difference between the two groups(P < 0.05). There was no significant difference in blood pressure between the two groups(P > 0.05). Conclusion:In patients with acute myocardial infarction complicated with acute left heart failure, the method of treating first and then transferring can improve the treatment effect, improve the heart rate and respiratory level of patients, and help to reduce the incidence of complications before admission.
Objective: To explore the first aid effect of different pre-hospital first aid methods on acute myocardial infarction complicated with acute left heart failure. Methods: From January 2016 to March 2018 84 patients with acute myocardial infarction complicated with acute left heart failure were collected, and according to different ways of pre-hospital first aid divided into an observation group with 44 cases and a control group with 40 cases. After being treated with on-site oxygen inhalation, ECG monitoring, and sublingual nitroglycerin, and the control group was immediately transferred to the ambulance for transport, and rescued during the transshipment process. The observation group was treated first and then transported. The effects of treatment, heart rate, respiration, blood pressure, and complications before admission were observed. Results: The total effective rate of the observation group was 86.36%(38/44), which was higher than that of the control group 65.00%(26/40, P < 0.05). The heart rate and respiratory rate of the observation group were(109.87 +14.12) times/min and(22.94 +1.44) times/min, respectively, while those of the control group were(118.27 +15.36) times/min and(25.49(+1.88) times/min, respectively,and there was a significant difference between the two groups(P < 0.05). The incidence of complications before admission was11.36%(5/44) of the observation group and 40.00%(16/40) of the control group, and there was significant difference between the two groups(P < 0.05). There was no significant difference in blood pressure between the two groups(P > 0.05). Conclusion:In patients with acute myocardial infarction complicated with acute left heart failure, the method of treating first and then transferring can improve the treatment effect, improve the heart rate and respiratory level of patients, and help to reduce the incidence of complications before admission.
引文
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[2]郭冉.无创机械通气对老年慢性肺源性心脏病合并急性左心衰竭临床效果观察[J].慢性病学杂志,2018,19(5):591-593.
[3]朱美玉,黄先带,姚柳燕.循证护理在心肌梗死合并心力衰竭患者中的应用[J].护理实践与研究,2018,15(8):50-51.
[4]刘凯.不同院前急救方式对急性心肌梗死合并急性左心衰竭抢救效果及预后的影响[J].现代诊断与治疗,201728(8):1379-1381.
[5]郑军,翟亭立,胡杰.老年急性左心衰竭76例抢救体会[J].临床军医杂志,2017,45(7):729-730.
[6]柴秦峰.双水平无创正压通气在急性左心衰竭合并低氧血症患者急救中的应用效果观察[J].健康研究,2017,37(5):555-556,559.
[7]王峰,张敏.不同院前急救方式对急性心肌梗死合并急性左心衰竭救治效果及预后的影响[J].医学综述,201622(4):827-830.
[8]马坚.不同院前急救模式在急性左心衰竭患者中的应用价值分析[J].中国医药指南,2016,14(22):165-166.
[9]晏中军.急性心肌梗死合并左心衰竭患者急救过程中应用无创正压通气的效果分析[J].中国当代医药,2016,23(25):35-37.