摘要
目的探究标准化急诊预检分诊模式在区域性胸痛中心中的应用价值。方法选取2020年7月—2022年1月陆军第七十三集团军医院未实施标准化急诊预检分诊模式时间段内接诊的100例急性胸痛患者设为对照组,将2022年2月—2023年6月陆军第七十三集团军医院开展标准化急诊预检分诊模式后接诊的100例急性胸痛患者为研究组。对比2组患者抢救指标、临床效果、急诊工作效率以及不良反应发生情况差异。结果研究组患者的预检分诊时间[(2.03±0.21)minvs.(3.05±0.29)min]、首份心电图时间[(5.06±1.01)minvs.(6.23±1.51)min]、开放静脉通路时间[(9.11±2.01)minvs.(11.63±2.01)min]、床旁测试(point-of-care-testing,POCT)+检验报告时间[(18.98±2.65)min vs.(23.65±2.81)min]均明显短于对照组(P<0.05)。研究组患者的首次医疗接触(first medical contact,FMC)至经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)(FMC-to-B)[(43.20±3.65)minvs.(56.96±5.18)min]、自送到医院至接受正规治疗总时间(total time from hospital to receiving formal treatment,D-to-B)[(72.36±6.23)min vs.(110.15±13.23)min]以及肌钙蛋白Ⅰ获得时间[(21.02±2.65)minvs.(31.05±3.11)min]均显著低于对照组(P<0.05)。研究组患者的急诊处置时间[(10.23±2.09)min vs.(16.32±3.01)min]以及急诊候诊时间[(0.98±0.31)min vs.(3.55±0.59)min]均明显短于对照组(P<0.05)。2组患者在预检分诊准确率比较,差异无统计学意义(P>0.05)。研究组患者出现心律失常1例,心力衰竭1例,不良反应总发生率为2.00%(2/100),显著低于对照组患者的9.00%(9/100)(P<0.05)。结论对急性胸痛患者开展标准化急诊预检分诊模式有助于提高患者预检分诊效率、改善临床治疗效果,对降低不良反应发生率具有积极意义。
Objective To explore the application value of standardized emergency pre-examination and triage mode in regional chest pain centers.Methods A total of 100 patients with acute chest pain who did not implement standardized emergency rd pre-examination and triage mode at 73 Group Army Hospital from July 2020 to January 2022 were designated as the control group,and 100 patients with acute chest pain who underwent standardized emergency pre examination and triage mode from February 2022 to June 2023 were designated as the study group.The rescue indicators,clinical effects,and differences in emergency work efficiency and incidence of adverse reactions.Results The pre-examination and triage time[(2.03±0.21)min vs.(3.05±0.29)min],first electrocardiogram time[(5.06±1.01)min vs.(6.23±1.51)min],open venous pathway time[(9.11±2.01)min vs.(11.63±2.01)min]and point of care testing(POCT)+test report time[(18.98±2.65)min vs.(23.65±2.81)min]of the study group patients were significantly shorter than those of the control group(P<0.05).The first medical contact(FMC)to percutaneous coronary intervention(PCI)(FMC-to-B)[(43.20±3.65)min vs.(56.96±5.18)min],total time from hospital to receiving formal treatment(D-to-B)[(72.36±6.23)min vs.(110.15±13.23)min],and troponin I acquisition time[(21.02±2.65)min vs.(31.05±3.11)min]of patients in the study group were significantly lower than those in the control group(P<0.05).The emergency response time and emergency waiting time of the study group patients were significantly shorter than those of the control group(P<0.05).There was no statistically significant difference in the accuracy of pre examination and triage between the two groups of patients(P>0.05).One case of arrhythmia and one case of heart failure occurred in the study group,with a total incidence of adverse reactions of 2.00%(2/100),significantly lower than the 9.00%(9/100)in the control group(P<0.05).Conclusion For patients with acute chest pain to carry out the standardization of emergency preview preview triage mode is helpful to improve patients triage efficiency,to improve clinical treatment effect and to reduce the incidence of adverse reactions has positive significance.
作者
郑丽英
张珍
ZHENG Liying;ZHANG Zhen(Department of Emergency,73rd Group Army Hospital,Xiamen Fujian 361000,China)
出处
《中国卫生标准管理》
2024年第5期97-101,共5页
China Health Standard Management
关键词
标准化急诊
预检分诊模式
区域性胸痛中心
应用价值
分诊效率
不良反应
standardized emergency treatment
pre-examination triage mode
regional chest pain center
application value
triage efficiency
adverse reactions
