采用急救网络绿色通道模式救治急性心肌梗死患者的效果  

A new approach of green-emergency net and track in rescuing patients with ST-elevated infarction

作　　者：任晖[1] 祝鹏[1] 李静[1] 巩洁[1] 袁博[1] 刘胜强[1] 张军康[1] 

机构地区：[1]安康市中心医院心内科,陕西安康725000

出　　处：《心脏杂志》2012年第3期374-376,共3页Chinese Heart Journal

摘　　要：目的:探讨急性ST段抬高型心肌梗死(ST elevated myocardil infaction,STEMI)患者采用急救网络绿色通道救治模式的可行性及效果。方法:对2008年12月～2010年12月66例STEMI患者(新型模式组)采用新型急救网络绿色通道模式救治,另选取2006年11月～2008年11月传统模式救治STEMI 42例(传统模式组),观察两组患者平均进门-球囊扩张时间(door to balloon,D2B)有无显著差异及术后3～6个月心脏不良事件(MACE)的发生情况。结果:两组患者D2B在新型模式组为(88±11)min,传统模式组为(138±12)min,两组比较有统计学意义(P<0.01);两组患者随访MACE发生情况(6%vs.19%)相比有统计学意义(P<0.05)。结论:采用急救网络及新型绿色通道救治模式,可明显缩短D2B,减少MACE的发生,改善患者的预后。To study the feasibility and effect of a new approach of green-emergency net and track in rescuing patients with ST-elevated myocardil infarction （STEMI）. METHODS： Sixty-six STEMI patients （ Group A） were treated with the new approach and 42 STEMI patients were treated traditionally as the control group （ Group B）. Door-to-balloon （D2B） time, occurrence of major adverse cardiac events （MACE） and influence on prognosis after 3 -6 months from operation were compared between groups. RESULTS： Compared with group B, the median D2B time in group A was significantly shortened E （88 ± 11） min vs. （138± 12） min; P 〈0.01 1 and occurrence of MACE also significantly decreased （6% vs. 19% ）. CONCLUSION： The new approach of green-emergency net and track in rescuing STEMI patients significantly reduces the D2B time and occurrence of MACE, thus remarkably improving the prognosis.

关 键 词：心肌梗死 急性 进门至球囊扩张时间 模式 

分 类 号：R541.4[医药卫生—心血管疾病]