|
|
|
| Application effect of pre-hospital medical emergency telephone guidance in patients with acute coronary syndrome |
| LI Liping XU Meiling WU Shuhong |
| 120 Emergency Center of Haikou City, Hainan Province, Haikou 570311, China |
|
|
|
Abstract Objective To explore application effect of pre-hospital medical emergency telephone guidance in patients with acute coronary syndrome(ACS). Methods 267 ACS patients of 120 Emergency Center of Haikou City in Hainan Province ("our center" for short) from September 2017 to March 2018 were selected as the study subjects, 129 ACS patients in our center from September to December 2017 as control group, 138 ACS patients in our center from January to March 2018 as observation group. Control group did not receive medical guidance after receiving the emergency call, dispatching pre-hospital emergency personnel for on-site inspection, treatment and transshipment, while observation group received the emergency call and dispatched tasks at the same time to give telephone medical guidance to guide the rescuers in-situ rescue. The on-site treatment time, the remission rate of symptoms on arrival of pre-hospital emergency personnel, the satisfaction degree of family members in pre-hospital first aid and the incidence of malignant cardiovascular events before transporting to hospital were observed in two groups. Results There was no significant difference in the basic data of the first witness between two groups (P > 0.05). The time of on-site treatment in observation group was shorter than that in control group (P < 0.05). The remission rate of symptoms and the satisfaction degree of family members in pre-hospital care in observation group were higher than those in control group (P < 0.05). The incidence of malignant cardiovascular events in observation group was lower than that in control group (P < 0.05). Conclusion Pre-hospital medical emergency telephone guidance has a certain effect in the treatment of patients with acute coronary syndrome, which can make up for the lack of pre-hospital first aid knowledge to a certain extent.
|
|
|
|
|
|
[1] Su G，Zhang T，Yang H，et al. Admission glycemic variability correlates with in-hospital outcomes in diabetic patients with non-ST segment elevation acute coronary syndrome undergoing percutaneous coronary intervention [J]. Anatol J Cardiol，2018，19（6）：368-373.
[2] Lavery T，Greenslade JH，Parsonage WA，et al. Factors influencing choice of pre-hospital transportation of patients with potential acute coronary syndrome：an observational study [J]. Emerg Med Australas，2017，29（2）：210-216.
[3] 于学忠，郭树彬，张新超，等.急性冠脉综合征临床实践指南（一）[J].中国急救医学，2015（12）：1063-1067.
[4] 中华医师协会急诊医师分会，中华医学院心血管病学分会，中华医学会检验医学分会.急性冠脉综合征急诊快速诊疗指南[J].中华急诊医学杂志，2016，25（4）：380-393.
[5] 薛占英.评价院前急救干预在急性冠脉综合征患者中的效果[J].中西医结合心血管病杂志，2015，3（17）：109， 111.
[6] 栗慧娟.关于充分利用电话急救指导填补“抢救空白期”的思考[J].中国实用护理杂志，2016，32：165.
[7] 杨菲飞，陈鑫.2012-2016年无锡市梁溪区心肌梗死发病率率趋势[J].江苏预防医学，2018，29（2）：168-170.
[8] 陈世君，余皓月，卢慧，等.替罗非班在老年高危非ST段抬高型急性冠脉综合征患者介入治疗中的作用[J].中国医药导报，2016，13（3）：142-145.
[9] 中共中央编写组.中华人民共和国国民经济和社会发展第十三个五年规划纲要[M].北京：人民出版社，2016：62-64.
[10] Petrova D，Garcia-Retamero R，Catena A，et al. Numeracy predicts risk of pre-hospital decision delay：a retrospective study of acute coronary syndrome survival [J]. Ann Behav Med，2017，51（2）：292-306.
[11] 孙义萍，吴敏，纪学颖，等.镇江市院前救治376例急性冠脉综合征患者的临床特点[J].中华灾害救援医学，2016，4（12）：666-669.
[12] Fathi M，Rahiminiya A，Zare MA，et al. Risk factors of delayed pre-hospital treatment seeking in patients with acute coronary syndrome：a prospective study[J]. Turk J Emerg Med，2016，15（4）：163-167.
[13] 刘霖敏，王国涛，王海虹，等.院前急救心肺复苏成功率的影响因素分析[J].中国现代医生，2018，56（21）：78-81.
[14] Camuglia AC，Luis SA，Sengupta A，et al. Pre-hospital fibrinolysis in the management of patients with ST elevation acute coronary syndrome：review of the evidence，implementation and future directions [J]. Cardiovasc Hematol Disord Drug Targets，2013，13（3）：243-255.
[15] 袁晓丽，江智霞，张咏梅，等.1999-2008年国内公众急救知识普及培训状况分析[J].中国急救医学，2010，30（6）：567-569.
[16] 侯文可，朱秀彪，郭江林，等.规范胸痛急救流程对高危患者确诊时间、辅助检查应用的影响[J].中西医结合心脑血管病杂志，2013，11（8）：1014-1016.
[17] 李丽廉，黄慧萍，王雪梅，等.深圳市社区居民急救知识与技能的健康教育效果评价[J].中国社会医学杂志，2015， 32（3）：216-218.
[18] 陆夏凯，黄海英，林松，等.急救护理路径在急性冠状动脉综合征急诊PCI绿色通道中的效果观察[J].广西医学，2013，35（3）：365-367.
[19] 吴超群，巴特金，包巴根那，等.院前急救电话指导的作用[J].临床医药文献杂志，2017，4（53）：10488.
[20] 徐梅玲，孙文会，梁宁，等.海口地区公众接受电话急救指导心肺复苏现状调查分析[J].临床肺科杂志，2017， 22（11）：1956-1958.
[21] 全松梅，万毓华，蔡榕，等.电话指导呼救者行心肺复苏对院前猝死患者救治效果的观察[J].中华全科医师杂志，2017，16（12）：967-968.
[22] 杨华，张灵，王瑛，等.急性冠脉综合征院前急救的治疗进展[J].中华医学杂志，2017，97（29）：2314-2316. |
|
|
|
