摘要
目的:探讨不同的院前急救模式对急性左心衰竭患者预后的影响。方法:将急诊收治的100例急性左心衰竭患者随机分为观察组(n=50)和对照组(n=50)。对照组运用边转运边治疗的急救模式,观察组运用先治疗后转运的急救模式,观察并比较2组患者的临床预后。结果:观察组总有效率(78.0%)显著高于对照组(50.0%),差异具有统计学意义(P<0.05)。在转运途中,对照组有6例出现病情恶化,恶化率(12.0%),而观察组无1例出现安全问题,2组比较具有显著性差异(P<0.05)。结论:对急性左心衰竭患者采取先治疗后转运的急救模式,可以初步控制病情发展,对减少转运风险、降低意外事件发生率、改善预后有重要意义。
Objective：To investigate the influence of different kinds of pre-hospitalized emergency on prognosis of acute left heart failure.Method：100 cases of acute left heart failure patients were randomly divided into observation group（n=50） and control group.Patients in control group were rescued and transported simultaneously,patients in observation group were rescued at first and then transported.The prognoses of both groups were compared.Result：Total effective rate in observation group was higher than that of control group which showed statistical differences（P0.05） On the transportation to hospital,6 cases occupied 12% in control group deteriorated but none of observation group.The results showed significant differences statistically（P0.05）.Conclusion：The optimal type for acute left heart failure patients was treatment at first and transportation secondly that enjoyed some benefits of controlling deterioration and reducing risk on transportation,in addition,it had great significance for prognosis.
出处
《西部中医药》
2011年第12期48-50,共3页
Western Journal of Traditional Chinese Medicine
关键词
急性左心衰竭
院前急救
预后
acute left heart failure
pre-hospitalized emergency
prognosis
