梗死前心绞痛患者的临床急诊急救措施.docVIP

精品论文 参考文献 梗死前心绞痛患者的临床急诊急救措施 中国人民解放军国防科技大学医院急诊科 湖南长沙 410000 【摘 要】目的：分析梗死前心绞痛患者的临床急诊急救措施。方法：选取86例梗死前心绞痛患者患者作为研究对象，随机进行分组；对照组采取常规治疗，观察组在常规治疗的基础上，采取抗凝、解痉及扩冠等急诊急救措施；对比两组患者的临床急诊急救情况，根据心绞痛发作次数、持续时间、疼痛程度，综合评价患者的疗效。结果：经chi;2检验，观察组患者的心肌梗死、心律失常、心力衰竭、心源性休克发生率均小于对照组，差异具有统计学意义（P＜0.05）；观察组患者的心绞痛发作次数少于对照组，持续时间短于对照组，疼痛程度小于对照组，经T检验，差异具有统计学意义（P＜0.05）。结论：对梗死前心绞痛患者采取抗凝、解痉及扩冠等急诊急救措施，可明显减少并发症发生，抑制梗死前心绞痛进展，对于改善预后具有积极作用。 【关键词】梗死前心绞痛；急诊急救；措施 Clinical emergency aid measures pre-infarction angina patients OuLijun Peoples Liberation Army National Defense University Hospital Emergency Department HunanChangsha 410000 [Abstract]Objective：To analyze the clinical pre-infarction angina patients in emergency aid measures. Methods：86 cases of patients with pre-infarction angina patients as research subjects were randomly grouped；the control group received conventional treatment，observation group on the basis of conventional therapy，to take anticoagulant，antispasmodic and dilate coronary and other emergency aid measures；compared two groups emergency first aid clinical condition of the patient，according to the number of angina attacks，duration，pain severity，comprehensive evaluation of patient outcomes. Results：The chi;2 test was observed in patients with myocardial infarction，arrhythmias，heart failure，cardiogenic shock were less than the control group，the difference was statistically significant（Plt;0.05）；angina episodes observed in patients less than the control group，the duration shorter than the control group，the degree of pain than the control group，the T test，the difference was statistically significant（Plt;0.05）. Conclusion：The pre-infarction angina patients to take anticoagulant，antispasmodic and dilate coronary and other emergency first aid measures can significantly reduce complications，inhibiting the progress of angina before infarction，to improve the prognosis of a positive role. Keywords：pre-infarction angina；emergency aid；measures 梗死前心绞痛是一种介于心绞痛和典型心肌梗死之间的临床综合征[1]。一系列研究表明，梗死前心绞痛