老年医学与保健2023，Vol.29Issue(6)：1224-1230,7.
固定急救反应团队联合急救程序化管理对老年急性心肌梗死救治效果的影响
Effects of fixed emergency response team combined emergency procedural management on treatment effectiveness of elderly patients with acute myocardial infarction
摘要
Abstract
Objective To explore the effects of fixed emergency response team combined emergency procedural man-agement on the treatment effectiveness of elderly patients with acute myocardial infarction.Methods A total of 105 elderly pa-tients with acute myocardial infarction admitted to First Affiliated Hospital of Air Force Military Medical University from De-cember 2021 to December 2022 were prospectively selected.According to the implementation time(June 2022)of fixed emer-gency response team combined emergency procedural management scheme in this hospital,55 cases were divided into the con-trol group(December 2021-May 2022)and 50 ones were divided into the observation group(June 2022-December 2022).The control group received traditional emergency model intervention,while the observation group received fixed emergency response team combined emergency procedural management model intervention.The success rate of emergency treatment,emergency re-sponse time(first diagnosis time,120 arrival time,condition assessment,venous channel establishment,electrocardiogram time)and emergency treatment indexes(balloon time,stent placement time,emergency stay time,and hospital stay time)were compared between the two groups.Basic vital signs(respiration,heart rate,blood pressure)were compared between the two groups before and after emergency treatment.The medication use and complications(heart failure,shock,chest pain,ar-rhythmia)during the intervention period were compared between the two groups.Before intervention and 1 month after inter-vention,serum related indicators[brain natriuretic peptide(BNP),cardiac troponin T(cTnI),creatine kinase isoenzyme(CK-MB)],and echocardiographic parameters[early/late diastolic maximal blood flow velocity(E/A),left ventricular end-systolic diameter(LVESD),left ventricular ejection fraction(LVEF)]were compared between the two groups.The scoring results of the quality of life(WHOQOL-BREF)of patients after emergency treatment were recorded.Results There were 2 deaths and the remaining 48 cases were effective in the observation group.There were 15 deaths and the remaining 40 cases were effective in the control group.The success rate of rescue in the observation group was significantly higher than that in the control group(P＜0.05).The emergency response time,emergency treatment indexes and quality of life score of the observa-tion group were significantly higher than those of the control group(P＜0.05).After emergency treatment,the respiration,heart rate and blood pressure of both groups were lower than those of the same group before the treatment,and the observation group was significantly lower than the control group(P＜0.05).After one month of intervention,the serum related indexes and echocardiographic parameters(E/A,LVESD)of the observation group were significantly lower than those of the control group(P＜0.05),and LVEF was significantly higher than that of the control group(P＜0.05).The incidence of complica-tions in the observation group was significantly lower than that in the control group(P＜0.05).There was no statistically sig-nificant difference in medication use between the two groups(P＞0.05).Conclusion The combination of fixed emergency response team and emergency procedural management has a significant effect on the treatment of acute myocardial infarction in the elderly.It can effectively shorten the emergency response time,improve the quality of life and prognosis of patients,which has certain clinical application value.关键词
老年/急性心肌梗死/固定急救反应团队/急救程序化管理Key words
elderly/acute myocardial infarction/fixed emergency response team/emergency procedural management引用本文复制引用
周亚娟,张莉..固定急救反应团队联合急救程序化管理对老年急性心肌梗死救治效果的影响[J].老年医学与保健,2023,29(6):1224-1230,7.基金项目
陕西省自然科学基础研究计划项目(S2021-JC-YB-1470) （S2021-JC-YB-1470）
