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目的:探讨不同的院前急救模式对急性左心衰竭患者预后的影响。方法:将急诊收治的100例急性左心衰竭患者随机分为观察组(n=50)和对照组(n=50)。对照组运用边转运边治疗的急救模式,观察组运用先治疗后转运的急救模式,观察并比较2组患者的临床预后。结果:观察组总有效率(78.0%)显著高于对照组(50.0%),差异具有统计学意义(P<0.05)。在转运途中,对照组有6例出现病情恶化,恶化率(12.0%),而观察组无1例出现安全问题,2组比较具有显著性差异(P<0.05)。结论:对急性左心衰竭患者采取先治疗后转运的急救模式,可以初步控制病情发展,对减少转运风险、降低意外事件发生率、改善预后有重要意义。
Objective: To investigate the effect of different prehospital emergency modes on the prognosis of patients with acute left heart failure. Methods: One hundred patients with acute left heart failure admitted to the emergency department were randomly divided into observation group (n = 50) and control group (n = 50). The control group was treated with the first aid mode while the other group was treated. The observation group received the first aid mode after the first treatment, and the clinical outcomes of the two groups were observed and compared. Results: The total effective rate (78.0%) in the observation group was significantly higher than that in the control group (50.0%), the difference was statistically significant (P <0.05). During transit, 6 patients in the control group had worsened and worsened rates (12.0%), while none in the observation group had safety problems. There were significant differences between the two groups (P <0.05). Conclusion: The first-aid treatment model of acute left heart failure in patients with acute left ventricular failure can be controlled initially to reduce the risk of transport, reduce the incidence of accidents and improve prognosis.