院前急救中采用先治疗后转运模式的可行性研究

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2011年5月—2013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（P〈0.05）;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（P〈0.05）。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。

Used in pre-hospital emergency treatment before transshipment model of feasibility study

Objective To investigate the feasibility of pre-hospital emergency mode in patients with acute left heart failure in.Methods May 2011 April 2013 emergency department treated 80 cases of acute heart failure were randomly divided into observation group and control group, in which the observation group 40 cases, the use of transport modes after the first treatment, the control group of 40 patients, using the transit side edge treatment modalities, and clinical efficacy observed, at different times of the two groups were compared for each cardiac function changes. Results The total effective rate was 87.5% in the control group, the total effective rate was 67.5%, comparing the two groups were statistically significant differences in clinical efficacy（P〈0.05）; transit observation group 1 patients had respiratory depression occurs rate of 2.5% in the control group transit four patients had respiratory depression, the rate was 10%, improved in all patients after giving emergency intubation, the rate of disease progression in the observation group were significantly lower than the control group, compared to the difference statistically significant（P0.05）.Conclusion After first aid treatment process using transport mode is effective, low mortality, deserve to be in clinical practice.