| 林明峰.院前急救方式对急性左心衰竭患者生命体征及疗效的影响[J].实用中西医结合临床,2021,21(6):7-8,95 |
| 院前急救方式对急性左心衰竭患者生命体征及疗效的影响 |
| Effect of Prehospital Emergency Treatment on Vital Signs and Curative Effect of Patients with Acute Left Heart Failure |
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| DOI： |
| 中文关键词: 急性左心衰竭 先救治后转运院前急救方式 边治疗边转运院前急救方式 |
| 英文关键词: Acute%left%heart%failure %First%aid%and%then%transfer%prehospital%first%aid %Treatment%while%transfer%prehospital%first%aid |
| 基金项目: |
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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患者心率、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 月救治的急性左心衰竭患者 92 例临床资料，依据院前急救方式不同分为两组，将接受先救治后转运急救
方式的 45 例纳入观察组，接受边治疗边转运急救方式的 47 例纳入对照组。 记录两组急救处理前及处理后的心率、呼吸指标，并对
比两组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（ P ＜0.05 ）；对照组总有效率（ 75.56% ）较观察组（ 93.62% ）低（ P ＜0.05 ）；对照组并发症总发生率（ 28.89% ）较观察组（ 8.51% ）高
（ P ＜0.05 ）。结论：先救治再转运这种院前急救手段在提高急性左心衰竭患者救治效率方面效果显著，同时可改善患者呼吸、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%prehospital%emergency%treatment%on%heart%rate,%respiratory%index,%treatment%efficiency%
and%complication%rate%of%patients%with%acute%left%heart%failure.%Methods:%From%February%2018%to%February%2020,%the%clinical%data%of%92%
patients%with%acute%left%heart%failure%treated%in%our%hospital%were%retrospectively%analyzed.%They%were%divided%into%two%groups%according%to%
the%different%ways%of%prehospital%first%aid.%45%patients%who%received%first%aid%and%then%transfer%%were%included%in%the%observation%group,%and%
47%patients%who%received%emergercy%treatment%while%transfer%were%included%in%the%control%group.%The%heart%rate%and%respiratory%index%of%
both%groups%were%recorded%before%and%after%emergency%treatment,%and%the%treatment%effect%and%complication%rate%were%compared%between%
the%two%groups.%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,%with%significant%difference% ( P ＜
0.05);%the%total%effective%rate%of%the%control%group% (75.56%)%was%lower%than%that%of%the%observation%group% (93.62%),%with%significant%
difference% ( P ＜0.05);%the%total%incidence%of%complications%of%the%control%group% (28.89%)%was%higher%than%that%of%the%observation%group%
(8.51%),%with%significant%difference% ( P ＜0.05).%Conclusion:%The%effect%of%first%and%then%transfer%prehospital%first%aid%is%significant%in%
improving%the%treatment%efficiency%of%patients%with%acute%left%heart%failure.%At%the%same%time,%it%can%improve%the%level%of%respiration%and%
heart%rate%of%patients,%reduce%the%complications%before%admission,%and%improve%the%prognosis. |
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