先救治后转运方式救治急性心肌梗死实践与评估.docVIP

先救治后转运方式救治急性心肌梗死实践与评估 　　[摘要]目的 探讨先救治后转运方式救治急性心肌梗死的救治效果及对预后的影响。方法 采用回顾性分析方法，选取2016年10月～2017年5月我院以不同院前急救方式救治的急性心肌梗死患者128例。根据院前急救方式分为三组，A组由家属送入我院急诊，B组由急诊人员先转入我院再实施救治，C组由急诊人员立即开展救治后转入我院。比较三组患者发病到开始救治的时间、溶栓时间、总死亡率及病情好转率，比较三组急救处理后存活患者的心率、呼吸、血压；比较三组的总满意度。结果 C组患者发病到开始救治时间、溶栓时间、总死亡率明显低于A、B组（P0.05）；病情好转率显著高于A、B组（P0.05）；三组存活患者的心率、呼吸频率比较差异有统计学意义（P0.05）；与A、B组比较，C组患者的总满意度（98%）最高（P0.05）。结论 先救治后转运的方式救治急性心肌梗死能够缩短救治时间及溶栓时间，降低死亡率，提升救治效果及治疗满意度，同时能改善心率、呼吸预后状态。 　　[关键词]急性心肌梗死；先救治后转运；效果；预后 　　[中图分类号] R542.2+2 [文献标识码] A [文章编号] 1674-4721（2017）06（c）-0019-03 　　[Abstract]Objective To explore the effect of first treatment and post transportation curing acute myocardial infarction and its influence on the prognosis.Methods A retrospective analysis was conducted.From October 2016 to May 2017，128 patients with acute myocardial infarction treated by different the first aid way before hospital were selected.According to the first aid way before hospital，patients were divided into the three groups.Group A was sent into the emergency department of our hospital by the family members，and group B was transferred to our hospital by emergency personnel to conduct the cure，and group C was transferred to our hospital immediately after emergency treatment.The time of from the attack to start the cure，the thrombolysis time，the total mortality and the improvement rate of disease among the three groups were compared，and the heart rate，respiration and blood pressure of survival patients after curing among the three groups were compared，and the total satisfaction degree among the three groups were compared.Results The time of from the attack to start the cure，the thrombolysis time and the mortality in group C were significantly lower than those of group A and group B （P0.05） and the improvement rate of disease in group C was significantly higher than those of group A and group B （P0.05）.There was a statistical difference of heart rate and respiratory rate among the three groups （P0.05）.Compared with group A and