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目的探讨吗啡应用于急性左心衰竭患者院前急救的临床效果。方法选取2012年1月至2013年12月在我中心进行抢救的急性左心衰患者76例。其中将应用吗啡急救的43例患者作为研究组,未应用吗啡治疗的33例患者作为对照组,观察两组救治疗效。结果研究组患者总有效率为93.02%,高于对照组患者的78.79%(P<0.05);两组院前死亡率比较无明显差异(P>0.05);两组院前急救时间差异有统计意义(P<0.05)。结论对急性左心衰患者采用小剂量吗啡结合其他急救措施救治,可提高现场抢救总有效率、降低死亡率。
Objective To investigate the clinical effect of morphine in prehospital emergency treatment of patients with acute left heart failure. Methods A total of 76 patients with acute left heart failure who were rescued in our center from January 2012 to December 2013 were selected. Among them, 43 patients who applied morphine first aid as the research group and 33 patients who did not use morphine as the control group, and observed the curative effect of the two groups. Results The total effective rate in study group was 93.02%, which was higher than that in control group (78.79%, P <0.05). There was no significant difference in pre-hospital mortality between the two groups (P> 0.05) Significance (P <0.05). Conclusion Acute left heart failure in patients with low-dose morphine combined with other first-aid treatment can improve the overall efficiency of rescue on-site and reduce mortality.