| 林明峰.院前急救方式对急性左心衰竭病人心率、呼吸指标、治疗有效率及并发症发生率的影响[J].实用中西医结合临床,2021,21(6): |
| 院前急救方式对急性左心衰竭病人心率、呼吸指标、治疗有效率及并发症发生率的影响 |
| Effect of pre hospital emergency treatment on heart rate,respiratory index,treatment efficiency and complication rate of patients with acute left heart failure |
| 投稿时间：2020-12-11 修订日期：2020-12-28 |
| DOI： |
| 中文关键词: 急性左心衰竭 先救治后转运院前急救方式 边治疗边转运前急救方式 心率 呼吸 并发症 |
| 英文关键词: Acute left heart failure first treatment and then transport pre-hospital first aid treatment while transport pre-first aid heart rate respiration complications |
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| 中文摘要: |
| 目的 分析院前急救方式对急性左心衰竭病人心率、呼吸指标、治疗有效率及并发症发生率的影响 。方法 回顾性分析2018年2月-2020年2月我院救治的急性左心衰竭病人92例的临床资料，依据院前急救方式的不同将其分为两组，将接受先救治后转运急救方式的45例病人纳入观察组，接受边治疗边转运的急救方式的47例病人作为对照组。记录两组急救处理前及处理后的心率、呼吸指标，并对比其治疗效果及并发症发生率。结果 两组处理后的呼吸、心率水平及血氧饱和度较处理前明显改善，且观察组改善程度优于对照组，差异显著（P＜0.05）。对照组总有效率（75.55%）较观察组（93.62%）低，差异显著（P＜0.05）。对照组并发症总发生率（28.89%）较观察组（8.51%）高，差异显著（P＜0.05）。结论 先救治再转运这种院前急救手段在急性左心衰竭病人救治效率提高方面效果显著，同时可改善病人呼吸、心率水平，降低入院前并发症，改善预后。 |
| 英文摘要: |
| Objective To analyze the effect of pre hospital emergency treatment on heart rate,respiratory index,treatment efficiency and complication rate of patients with acute left heart failure.Methods The clinical data of 92 patients with acute left heart failure treated in our hospital from February 2018 to February 2020 were retrospectively analyzed.They were divided into two groups according to the different methods of pre-hospital first aid.Forty-five patients were included in the observation group,and 47 patients who received the emergency mode of treatment and transport as the control group.The heart rate,respiratory level and prognosis of the two groups after emergency treatment were compared.Results After treatment,the respiration,heart rate and blood oxygen saturation of the two groups were significantly improved,and the improvement degree of the observation group was better than that of the control group,the difference was significant(P<0.05).The total effective rate of the control group(75.55%)was lower than that of the observation group(93.62%),the difference was significant(P<0.05).The total incidence of complications in the control group(28.89%)was higher than that in the observation group(8.51%),the difference was significant(P<0.05).Conclusion The pre-hospital emergency approach of first treatment and transfer is beneficial to improve the treatment effect of patients with acute left heart failure, improve the patient"s heart rate and respiratory level, reduce pre-hospital complications, and improve the prognosis. |
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