“双绕行”诊治流程在急性胸痛患者急救中的应用效果分析.pdfVIP

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“双绕行”诊治流程在急性胸痛患者急救中的应用效果分析

马永健汪喜坤（通信作者）

215400太仓市医疗急救站，江苏苏州

doi:10.3969/j.issn.1007-614x.2025.09.019

摘要目的：探讨“双绕行”诊治流程在急性胸痛患者急救中的应用效果。方法：选取2022年1—6月太仓市医疗急救站

接诊的40例急性胸痛患者作为对照组，选取2023年7—12月接诊的40例急性胸痛患者作为观察组。对照组实施常规院

前急救流程，观察组实施“双绕行”诊治流程。比较两组救治时间、不良结局发生情况。结果：观察组急诊分诊评估时间、

心电图检查时间、急诊救治时间短于对照组，差异有统计学意义（P＜0.001）。观察组不良结局总发生率低于对照组，差异

有统计学意义（P=0.045）。结论：“双绕行”诊治流程在急性胸痛患者急救中的应用效果显著，能够缩短急诊分诊评估时

间、心电图检查时间、急诊救治时间，降低不良结局发生率。

关键词急性胸痛；急救“；双绕行”诊治流程

中图分类号R459.7文献标识码A

AnalysisofApplicationEffectofDoubleDetourDiagnosisandTreatmentProcessinEmergencyTreatmentof

PatientswithAcuteChestPain

MaYongjian,WangXikun(correspondingauthor)

TaicangMedicalEmergencyStation,Suzhou215400,JiangsuProvince,China

AbstractObjective:Toexploretheapplicationeffectofdoubledetourdiagnosisandtreatmentprocessinemergencytreatment

ofpatientswithacutechestpain.Methods:FortypatientswithacutechestpainwhoweretreatedbyTaicangMedicalEmergency

StationfromJanuary2022toJune2022wereselectedasthecontrolgroup.Fortypatientswithacutechestpainwhoweretreated

fromJuly2023toDecember2023wereselectedastheobservationgroup.Thecontrolgroupunderwentroutinepre-hospital

emergencytreatmentprocessandtheobservationgroupunderwentdoubledetourdiagnosisandtreatmentprocess.The

treatmenttimeandtheoccurrenceofadverseoutcomeswerecomparedbetweenthetwogroups.Results:Thetimeofemergency

triageevaluation,electrocardiogramexaminationandemergencytreatmentintheobservationgroupwereshorterthanthoseinthe

controlgroup,andthedifferencewasstatisticallysignificant(P0.001).Thetotalincidenceofadverseoutcomesintheobservation

groupwaslowerthanthatinthecontrolgroup,andthedifferencewasstatisticallysignificant(P=0.045).Conclusions:The

applicationofthedoubledetourdiagnosisandtreatmentprocessinth