院前急救中采用先治疗后转运模式的可行性研究.doc

院前急救中采用先治疗后转运模式的可行性研究 伍静郭华 郑州大学第五附属医院急诊科，河南郑州450052 摘要目的探讨不同院前急救模式在急性左心衰竭患者中的可行性。方法选取xx年5月xx年4月急诊部收治的80例急性左心衰患者，随机分为观察组和对照组，其中观察组40例，采用先治疗后转运模式，对照组40例，采用边转运边治疗模式，观察并比较两组患者的临床疗效、不同时段各心功能指标变化。结果观察组总有效率为87.5%，对照组总有效率为67.5%，两组患者临床疗效比较差异有统计学意义(P0.05)；观察组转运途中有1例患者出现呼吸抑制，发生率为2.5%，对照组转运途中有4例患者出现呼吸抑制，发生率为10%，所有患者给予紧急气管插管后有所好转，观察组病情恶化率显著低于对照组，相比较差异有统计学意义(P0.05)。结论急救过程中采用先治疗后转运模式疗效好，死亡率低，值得在临床上予以推广。 关键词院前急救模式；先治疗后转运；可行性 R587.1A1672-5654（xx）08（b）-0024-02 Usedinpre-hospitalemergencytreatmentbeforetransshipmentmodeloffeasibilitystudy WUJingGUOHua EmergencydepartmentoftheFifthAffiliatedHospialofZhengzhouUniversity,Henan450052,China AbstractObjectiveToinvestigatethefeasibilityofpre-hospitalemergencymodeinpatientswithacuteleftheartfailurein.MethodsMayxxAprilxxemergencydepartmenttreated80casesofacuteheartfailurewererandomlydividedintoobservationgroupandcontrolgroup,inwhichtheobservationgroup40cases,theuseoftransportmodesafterthefirsttreatment,thecontrolgroupof40patients,usingthetransitsideedgetreatmentmodalities,andclinicalefficacyobserved,atdifferenttimesofthetwogroupswereparedforeachcardiacfunctionchanges.ResultsThetotaleffectiveratewas87.5%inthecontrolgroup,thetotaleffectiveratewas67.5%,paringthetwogroupswerestatisticallysignificantdifferencesinclinicalefficacy(P0.05);transitobservationgroup1patientshadrespiratorydepressionoursrateof2.5%inthecontrolgrouptransitfourpatientshadrespiratorydepression,theratewas10%,improvedinallpatientsaftergivingemergencyintubation,therateofdiseaseprogressionintheobservationgroupweresign