急性ST段抬高心肌梗死临床路径应用对D-to-B的应用研究  

Impact of Clinical Pathway on Door to Balloon Time in Patients with Acute ST Elevated Myocardial Infarction

作　　者：陈维芊[1] 赖沙毅[2] 谢剑[2] 楚罗湘[2] 阮海林[1] 

机构地区：[1]广西医科大学第四附属医院急诊科,广西柳州市545005 [2]广西医科大学第四附属医院心内科,广西柳州市545005

出　　处：《实用心脑肺血管病杂志》2012年第4期703-704,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的分析急性ST段抬高心肌梗死(STEMI)患者应用临床路径(CP)后对门-球囊扩张(D-to-B)时间的影响。方法回顾性分析了2007年1月—2011年6月经我院急诊科救治的、发病时间≤12h、并行急诊冠脉介入治疗的STEMI患者343例,分为CP组和非CP组,分别记录如下时间:院前延迟、发病-治疗开始时间以及D-to-B时间。结果 204例CP组及139例非CP组患者D-to-B分别为(88.69±21.06)min、(98.13±28.63)min(P<0.05)。结论应用CP可明显缩短D-to-B,使急性STEMI患者获益更大。Objective To investigate the impact of clinical pathway （CP） on door to balloon time in patients with a- cute ST - segment elevated myocardial infarction （STEMI）. Methods To analyze 343 patients with STEMI who received primary percutaneous coronary intervention within 12 h after symptom onset from Jan 2007 to Dec 2010. The data were collected： prehospital delay, onset to treatment and door to balloon time. Results The following median times of door to balloon time were recorded： CP group was （88.69 ±21.06） min and non - CP group was （98. 13 ±28.63） min （P 〈0.05）. Conclusion CP could significantly reduced door to balloon time.

关 键 词：急性ST段抬高心肌梗死 门-球囊扩张时间 临床路径 

分 类 号：R542.22[医药卫生—心血管疾病]