CAJ | 학술논문

目的：观察“扁鹊飞救”系统在边远山区胸痛患者院前急救中的临床应用价值。方法选取2013年7月到2015年5月期间在我院就诊并采取“扁鹊飞救”系统进行急救的胸痛患者90例作为实验组，选取2008年1月到2013年6月期间在我院就诊但未使用“扁鹊飞救”系统急救而采取常规院前急救措施的胸痛患者90例作为对照组。比较两组患者的临床疗效、并发症发生情况、发病至开始治疗时间、发病至开始诊断时间以及住院时间。结果实验组好转率显著高于对照组，病死率以及心力衰竭、心源性休克以及恶性心律失常等并发症发生率均明显低于对照组(P＜0.05)。实验组患者发病至开始治疗时间、发病至明确诊断时间以及平均住院时间明显短于对照组患者(P＜0.05)。结论“扁鹊飞救”系统应用于边远山区胸痛患者的院前急救可降低疾病的病死率及并发症发生率，缩短治疗时间，提高医院的经济效益，具有一定的临床应用价值。
목적：관찰“편작비구”계통재변원산구흉통환자원전급구중적림상응용개치。방법선취2013년7월도2015년5월기간재아원취진병채취“편작비구”계통진행급구적흉통환자90례작위실험조，선취2008년1월도2013년6월기간재아원취진단미사용“편작비구”계통급구이채취상규원전급구조시적흉통환자90례작위대조조。비교량조환자적림상료효、병발증발생정황、발병지개시치료시간、발병지개시진단시간이급주원시간。결과실험조호전솔현저고우대조조，병사솔이급심력쇠갈、심원성휴극이급악성심률실상등병발증발생솔균명현저우대조조(P＜0.05)。실험조환자발병지개시치료시간、발병지명학진단시간이급평균주원시간명현단우대조조환자(P＜0.05)。결론“편작비구”계통응용우변원산구흉통환자적원전급구가강저질병적병사솔급병발증발생솔，축단치료시간，제고의원적경제효익，구유일정적림상응용개치。
Objective To observe the clinical application value of "Bian Que flying rescue" system in pre-hospital emergency of patients with chest pain in remote areas. Methods 90 patients with chest pain treated with"Bian Que flying rescue"system for pre-hospital emergency in our hospital from July 2013 to May 2015 were set as experimental group. 90 patients with chest pain treated with conventional pre-hospital emergency in our hospital from January 2008 to June 2013 were set as control group. The clinical effect, incidence of complications and time of therapy, diagnosis, hospitalization were compared between the two groups. Results The improvement rate of the experimental group was higher than that of the control group, the mortality and incidence of heart failure, cardiogenic shock, malignant arrhythmia of the experimental group were lower than those of the control group (P <0.05). The time of therapy, diagnosis and hospitalization of the experimental group were shorter than those of the control group (P<0.05). Conclusions The application of"Bian Que flying rescue" system in pre-hospital emergency of patients with chest pain in remote areas can reduce the mortality and incidence of complications, shorten the treatment time, increase the economic benefit of hospital, which has certain clinical application value.