二甲医院休克与室颤高危人群早期识别体系构建及预防

Objective To establish an early identification index system for high-risk groups of shock and ventricular fibrillation in secondary-level hospitals, and evaluate the clinical effectiveness of the preventive intervention measures based on this system, in order to provide a reference for secondary-level hospitals to improve the efficiency of emergency and critical care treatment. Methods A retrospective cohort study was conducted to select 88 patients with shock and ventricular fibrillation risk who visited a secondary-level hospital from January 2021 to January 2024 as the research subjects. Participants were divided into an intervention group(n=44) and a control group(n=44) based on whether they received preventive interventions guided by an early identification indicator system. The control group followed the conventional treatment process, while the intervention group implemented risk assessment, early warning, and targeted preventive intervention measures based on this index system in addition to the conventional treatment. The incidence of shock/ventricular fibrillation, response time for treatment, 28-day survival rate, and improvement of related laboratory indicators were compared between the two groups. Results The incidence of shock/ventricular fibrillation in the intervention group was significantly lower than that in the control group, with a statistically significant difference(P<0.05). The intervention group demonstrated a significantly shorter treatment response time compared to the control group, with the difference being statistically significant(P<0.05). The 28-day survival rate in the intervention group was significantly higher than that in the control group, with a statistically significant difference(P<0.05). Following the intervention, the lactate levels in the intervention group were significantly lower than those in the control group, with the difference being statistically significant(P<0.05). The myocardial troponin I levels in the intervention group were significantly lower than those in the control group, with a statistically significant difference(P<0.05). Conclusion The constructed early identification index system for high-risk groups of shock and ventricular fibrillation has good practicality in secondarylevel hospitals. Preventive intervention measures based on this system can significantly reduce the incidence of shock and ventricular fibrillation, shorten the treatment response time, and improve the survival rate of patients, which is worthy of promotion and application in secondary-level hospitals.