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Application effect of standardized management of prehospital emergency treatment on acute chest pain |
WU Li-ping YE Yao-qu ZHANG Zhe DAI He-xing LIN Zhen-tian |
Department of Emergency, Yangjiang People's Hospital (Yangjiang Hospital Affiliated to Guangdong Medical University) |
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Abstract Objective To investigate the application effect of standardized management of prehospital emergency treatment on acute chest pain. Methods A total of 310 cases of patients with acute high-risk chest pain admitted to Yangjiang People's Hospital by ambulance from March 2019 to March 2021 were selected as the study subjects and divided into control group with 162 cases and observation group with 148 cases according to whether accepted prehospital emergency treatment on acute chest pain. Comparing the entry-guide wire passage time of patients with ST-segment elevation myocardial infarction (STEMI) undergoing percutaneous coronary intervention (PCI) treatment, the two groups of patients were diagnosed with acute coronary syndrome (ACS) time, from diagnosis to load double anti-administration time, hospitalization time, hospitalization expenses, complications occurred within one week after emergency. Results The time of diagnosis in the observation group, the time from diagnosis to the dose of the double antibody administration, the entry-guide wire passage time of STEMI patients receiving PCI treatment were shorter than those in the control group, the differences were statistically significant (P<0.05). The hospital stay in the observation group was shorter than that in the control group, hospitalization expenses were lower than those in the control group, and the differences were statistically significant (P<0.05); the observation group had lower incidence of complications within one week after first aid than the control group, and the difference was statistically significant (P<0.05). Conclusion Standardized management of prehospital emergency treatment on acute chest pain can shorten the time of diagnosis and length of stay, improve rescue efficiency, and reduce complications, is worthy of clinical application.
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