摘要【目的】探讨应用不同院前急救方式救治急性心肌梗死(AMI)的效果差异及对患者满意度的影响。【方法】140例 AMI随机分为两组,每组70例。对照组实施常规院前急救方式抢救,观察组给予先治疗、后转运的院前急救方式,比较两组患者的救治效果及对患者满意度的影响。【结果】观察组从发病到入院时间为(38.42±11.35)min,较对照组(16.76±7.58)min明显延长( P <0.01)。观察组治疗总有效率和生存率分别为98.57%(69/70)和97.14%(68/70) ,均高于对照组的85.71%(60/70)和82.86%(58/70)( P <0.05);观察组治疗后的各项生命体征指标均明显优于对照组( P <0.05);观察组的患者满意度得分均显著高于对照组( P <0.05)。【结论】采取先治疗后转运的院前急救方式可以有效提高临床治疗效果和患者的生存率,且提高患者的满意度,宜广泛应用与推广。
Abstract：【Objective】To analyze the effects of different pre-hospital emergency care for acute myocardial infarction(AMI) and its influence on the patients' satisfaction. 【Methods】A total of 140 patients with AMI were randomly divided into two groups, 70 cases in each group. The control group was treated by routine pre-hospital emergency care . The observation group was given treatment first, then transshipment o, and the effect of treatment and satisfaction between the two groups were compared.【Results】The time from onset to admission of the study group was (38.42± 11.35) min, which was significantly longer than that of the control group (16.76± 7.58) min ( P< 0.01).The total effective rate and survival rate of the study group were 98.57%(69/70) and 97.14%(68/70), respectively, which were higher than those of in the control group (85.71%(60/70) and 82.86%(58/70), P < 0.05). All of the vital signs of the study group were significantly better than those of in the control group ( P < 0.05). In addition, the patients' satisfaction score in the study group was significantly higher than that in the control group ( P < 0.05). 【Conclusion】Different methods of pre-hospital emergency care have different effects on patients with AMI. The treatment-first and transportation-later approach can effectively improve the clinical treatment effect and the survival rate of the patients, and it is helpful to improve the patient's satisfaction, and it may be widely used and popularized.
周维天, 文俊杰, 梁博文. 不同院前急救方式救治急性心肌梗死的疗效比较[J]. 医学临床研究, 2018, 35(7): 1323-1324.
ZHOU Wei-tian, WEN Jun-jie, LIANG Bo-wen. Effects of Different Pre-hospital Emergency Care for Patients with Acute Myocardial Infarction and the Effect on Patients' Satisfaction. JOURNAL OF CLINICAL RESEARCH, 2018, 35(7): 1323-1324.
2018, Vol. 35 
