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胸痛中心建设对ST段抬高型心肌梗死患者急救效率的影响
鄢涛,谢雯雯,刘小琴,姜伟,汪红霞,余函阳,杨勇,李芝霖,阳毅,黄健,邓艳华,邓晓剑,欧荣华,文书银,张捷
0
(德阳市人民医院急诊科;绵阳市第三人民医院;德阳市120指挥中心)
摘要:
目的 探讨医院胸痛中心建设对ST 段抬高型心肌梗死(STEMI)患者急救效率的影响。 方法 回顾性分析德阳市人民医院胸痛中心建立后9个月(2017年10月~2018年7月)和启动前同期9个月(2016年10月~2017年7月)STEMI病例,比较和分析胸痛流程中的关键指标。 结果 胸痛中心成立后,STEMI患者首份心电图时间、肌钙蛋白时间、急诊停留时间、门球时间和导管室激活时间较前均明显缩短(P<0。05);心电图传输比率和转诊比率较前均明显升高(P<0.05);患者预后指标左室射血分数和心力衰竭发生率较前均明显改善,平均住院日也明显缩短(P<0.05)。结论 医院胸痛中心建设优化了STEMI急救流程,缩短了STEMI患者院前和院内救治时间,提高了急救效率,改善了预后,可供借鉴。
关键词:  医院胸痛中心  ST段抬高型心肌梗死  院前和院内急救  急救效率
DOI:
基金项目:四川省教育厅资助项目(SWFZ16)
Effect of hospital chest pain center construction on the first aid efficiency of patients with ST segment elevation myocardial infarction
YAN Tao,XIE Wenwen,LIU Xiaoqin,JIANG Wei,WANG Hongxia,YU Hanyang,YANG Yong,LI Zhilin,YANG Yi,HUANG Jian,DENG Yanhua,DENG Xiaojian,OU Ronghua,WEN Shuyin,ZHANG Jie
(Emergency Department, The People′s Hospital of Deyang;The Third People′s Hospital of Mianyang;The 120 Command Center of Deyang)
Abstract:
Objective To study the effect of hospital chest pain center construction on the first aid efficiency of patients with ST segment elevation myocardial infarction(STEMI). Methods STEMI patients from 2017, Oct to 2018, Jul admitted into Deyang People′s Hospital after the establishment of the regional chest pain center (Group A) and STEMI patients from 2016, Oct to 2017, Jul admitted into Deyang People′s Hospital before the establishment of the regional chest pain center (Group B) were collected. The key indicators in the chest pain process were compared and analyzed. Results The first electrocardiogram time, the troponin testing time, the emergency stay time, the door to ball time and the catheter intervention therapeutic room activation time of Group A were significantly shorter than that of Group B (P< 0.05). The ECG transmission ratio and the patient referral ratio of Group A were significantly higher than that of Group A (P<0.05). The prognosis index of the left ventricular ejection fraction and the incidence of heart failure of Group A were improved more significantly than that of Group B (P<0.05). The average hospital day was significantly lower than before (P<0.05). Conclusion The hospital chest pain center construction optimizes the STEMI first aid process, shortens the prehospital and inhospital treatment time of STEMI patients, improves the first aid efficiency and improves the prognosis, and also provides reference for the construction of regional chest pain centers in other cities in China.
Key words:  Hospital chest pain center  ST segment elevation myocardial infarction  Pre-hospital and in hospital first aid  Efficiency

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