急诊集束化治疗急性心力衰竭患者效果及对心肺功能影响.docVIP

急诊集束化治疗急性心力衰竭患者效果及对心肺功能影响 　　【摘要】 目的 观察急诊集束化治疗急性心力衰竭患者的效果及对心肺功能的影响。方法 85例急性心力衰竭患者， 按照不同治疗方案将其分为对照组（39例）与研究组（46例）。对照组患者行常规急诊治疗， 研究组患者行急诊集束化治疗， 对比两组临床相关指标及治疗前后心肺功能改善情况。 　　结果 研究组气短缓解时间为（4.52±0.52）h， 急诊室治疗时间为（2.96±0.47）h， 均短于对照组的（8.45±0.86）h、（4.28±0.39）h， 差异具有统计学意义（P0.05）；与治疗前比较， 两组治疗后的动脉血氧分压（PaO2）、动脉血氧饱和度（SaO2）、收缩压（SBP）、呼吸（RR）等心肺指标均显著改善， 且研究组改善幅度明显优于对照组（P0.05）。结论 急性心力衰竭患者行急诊集束化治疗取得良好效果， 可有效促进其气促缓解时间缩短， 并改善患者心肺功能， 具一定临床应用及研究价值。 　　【关键词】 急诊集束化；急性心力衰竭；心肺功能 　　DOI：10.14163/j.cnki.11-5547/r.2017.08.017 　　【Abstract】 Objective To observe effect by emergency bundle in the treatment of acute heart failure patients and its influence on cardiopulmonary function. Methods A total of 85 patients with acute heart failure were divided by different treatment schemes into control group （39 cases） and research group （46 cases）. The control group received conventional emergency treatment， and the research group received emergency bundle treatment. Comparison was made on related clinical indexes and improvement in cardiopulmonary function before and after treatment. Results The research group had anhelation remission time as （4.52±0.52） h and emergency room treatment time as （2.96±0.47） h， which were all shorter than （8.45±0.86） and （4.28±0.39） h in the control group， and their difference had statistical significance （P0.05）. Comparing with those before treatment， both groups had obvious improvements in arterial partial pressure of cardiopulmonary function indexes of oxygen （PaO2）， arterial oxygen saturation （SaO2）， systolic blood pressure （SBP） and respiration rate （RR）. The research group had much better improvement than the control group （P0.05）. Conclusion Implement of emergency bundle treatment shows excellent effect for acute heart failure patients. This method can effectively shorten anhelation remission time and improve cardiopulmonary function in patients. It contains certain value for clinical application and research. 　　【Key words】 Emergency bundle； Acute heart failure； Card