Witzel K, Hoppe H, Raschka C
Department of Surgery, Herz-Jesu Hospital Fulda, Germany.
Eur J Emerg Med. 1999 Jun;6(2):115-8. doi: 10.1097/00063110-199906000-00006.
Emergency transport by an ambulance can cause considerable psychical and physical stress for patients. We determined the haemodynamic and endocrinological values of 54 healthy volunteers subjected to one high speed emergency transport and one smooth transport. There were significant differences in all measurements: heart rate (p < or = 0.001), blood pressure, cortisol (p < or = 0.01), prolactin, somatotropine and ACTH between the two modes of transportation. We hypothesize that the additional stress of high speed ambulance transport particularly in patients with acute cardiac disease may result in additional morbidity.
救护车紧急转运可能给患者带来相当大的身心压力。我们测定了54名健康志愿者在一次高速紧急转运和一次平稳转运后的血流动力学和内分泌值。两种转运方式在所有测量指标上均存在显著差异：心率（p≤0.001）、血压、皮质醇（p≤0.01）、催乳素、生长激素和促肾上腺皮质激素。我们推测，高速救护车转运带来的额外压力，尤其是对急性心脏病患者而言，可能会导致更多的发病情况。
