189例急性心肌梗死院前急救治疗研究

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1、189例急性心肌梗死院前急救治疗研究［摘要］目的总结189例急性心肌梗死患者院前急救与治疗措施。方法将本市内接诊的急性心肌梗死患者分为观察组189例和对照组201例，观察组采用现场急救，对照组患者由家属或同事送来门诊或急诊，比较不同的救治时间对急性心肌梗死患者死亡率的影响。结果观察组患者189例，平均救治时间为10.6min,救治后死亡16例，死亡率为&5%；对照组患者201例，平均救治时间为45.2min,救治后死亡49例，死亡率24.4%；观察组和对照组比较差异有统计学意义(P<0.05)；从观察组和对照组入院治疗预后情况可以看出，经院前急救处理后，观察组好转、治愈例数明显比对照组高

2、；而死亡数比对照组明显降低。结论采取及时有效的院前急救，可以大幅缩短急性心肌梗死患者就诊的时间，有效降低急性心肌梗死患者的死亡率，改善患者预后。［关键词］急性心肌梗死；院前急救；死亡率；猝死［中图分类号］R542.2［文献标识码］B［文章编号］1674—4721(2012)09(c)—0171—02Treatmentanalysisof189casesofacutemyocardialinfarctioninpre一hospitolfirstcareZHAOYanDepartmentofMedicalAdministration,CenterofEmergencyMedicalRescu

3、eofZhengzhouCityinHe'nanProvince,Zhengzhou450047,China[Abstract]ObjectiveTosummarizethepre一hospitalfirstcareandtreatmentmeasuresof189casesofacutemyocardialinfarction.MethodsThepatientsofacutemyocardialinfarctionacceptedinourcityweredividedintoobservationgroup(189cases)andcontrolgroup(201cases)・Th

4、eobservationgroupwasgivenfieldfirstaid,whilethecontrolgroupwassenttedbyfamilymembersorcolleaguestooutpatientoremergency.Theimpactofdifferenttreatmenttimesontheacutemyocardialinfarctionmortalitywerecompared.ResultsFor189casesofobservationgroup,theaveragetreatmenttimewas10.6min,6casesdiedafterthetr

5、eatment,themortalityratewas8.5%；for201casesofcontrolgroup,theaveragetimewas45.2min,49casesdiedafterthetreatment,themortalityratewas24.4%.Therewereobviouslysignificantdifferencesbetweentwogroups(P<0.05)・Fromtheprognosisofthesituationinobservetiongroupandcontrolgroupadmittedtohospitaltreatmentafter

6、pre一hospitalfirstaidhandling,theimprovednumber,curenumberinobservationgroupweresignificantlyhigherthanthoseincontrolgroup；thenumberofdeathsweresignificantlylowerthanthoseincontrolgroup・ConelusionTaketimelyandeffectivepre一hospitalfirstcarecanshortenthetreatmenttimeofpatientswithacutemyocardialinfa

7、rction,reducethemortalityofacutemyocardialinfarction，andimprovetheoutcomesofpatient.［Keywords］Acutemyocardialinfarction；Pre一hospitalfirstcare；Mortality；Suddendeath急性心肌梗死（AMI）是临床上常见的心脏急症，死亡率很高，在院前急救中经常能够遇到［1］。我国急性心肌梗死导致