院前、院内一体化模式救治急性心肌梗死的研究  

Analysis on Integrative Treatment Model for Acute Myocardial Infarction in Prehospital and In-hospital Phases

作　　者：曹丽君[1] 唐俊录 

机构地区：[1]辽宁省沈阳急救中心,110006 [2]沈阳市沈北新区虎石台社区服务中心,110122

出　　处：《中华全科医学》2009年第10期1130-1131,共2页Chinese Journal of General Practice

摘　　要：目的探讨院前、院内一体化(简单一体化)救治模式对急性心肌梗死(AMI)患者救治效果。方法应用一体化救治模式238例AMI患者为研究组,非一体化救治模式265例AMI为对照组。结果研究组:溶栓169例,再通135例(79.88%),1h内溶栓63例,死亡22例(9.24%)。对照组:溶栓148例,再通97例(65.54%),1h内溶栓14例,死亡35例(13.58%)。结论一体化救治模式缩短溶栓延迟时间0.5～3.0h,明显提高了AIM抢救成功率。Objective To investigate the curative effectiveness of the integrative treatment model for acute myocardial infarction （AMI） in prehospital and in-hospital phases. Methods 238 AMI patients in the study group were treated by integrative treatment model,and control group（n = 265 ） were treated by routine treatment model. Results In the study group, 169 cases received thrombolytic therapy,63 patients took the thrombolytic therapy in one hour,and the total recanalization rate was 79.88% （135/169） ,22 cases died （9.24%） ;in the control group： 148 cases received thrombolytic therapy, 14 patients took the thrombo- lytic therapy in one hour, and the total recanalization rate was 65.54% （97/148）, 35 cases died （9.24%）. Conclusion The integrative treatment model can shorten the delay time of thrombolysis by 0.5 to 3 hours, and improved success rate of salvage obviously.

关 键 词：急性心肌梗塞 一体化救治 静脉溶栓 

分 类 号：R542.22[医药卫生—心血管疾病]