《简明心肌梗死图解》对急性心肌梗死患者再灌注决定时间的影响  

Influence of illustration of myocardial infarction on decision time of reperfusion therapy in patients with acute myocardial infarction

作　　者：韩兰唐[1] 曹树军[1] 胡硕强[1] 俞晓薇[1] 杨红英[1] 王文斌[1] 韩琦[2] 

机构地区：[1]首都医科大学大兴医院心内科,北京102600 [2]北京大学医学部,北京100083

出　　处：《临床和实验医学杂志》2014年第20期1682-1684,共3页Journal of Clinical and Experimental Medicine

基　　金：北京市大兴区科委基金资助项目(编号1247-2)

摘　　要：目的探讨《简明心肌梗死图解》对急性ST段抬高心肌梗死(STEMI)患者再灌注治疗决定时间的影响。方法将2013年6月至2014年6月期间就诊于首都医科大学大兴医院适合急诊经皮冠状动脉介入治疗(PCI)的急性STEMI患者随机分为常规组和图解组;常规组采用目前临床常用的方法向患者和患者家属交代病情;图解组在常规方法的基础上借助《简明心肌梗死图解》向患者及其亲属进行简明扼要的STEMI医学知识紧急培训,帮助其迅速了解STEMI的发病机制和再灌注治疗的重要性;两组患者均在做出再灌注治疗决定并签署急诊PCI知情同意书后,尽快施行急诊PCI,并收住冠心病监护病房进一步治疗。结果图解组(n=49)患者的再灌注决定时间、进门-首次球囊扩张时间均明显短于常规组(n=50)[(15.1±11.5)min比(25.9±12.9)min,(105.7±28.4)min比(117.1±29.2)min,P均<0.05]。结论简明心肌梗死图解可以缩短STEMI患者再灌注治疗决定时间、缩短进门-首次球囊扩张时间。Objective To explore the influence of illustration of acute ST-elevation myocardial infarction（ STEMI）on decision time of reperfusion therapy in patients with acute STEMI. Methods Patients with acute STEMI and in line with the primary PCI indication were randomly divided into conventional group and illustration group from June 2013 to June 2014 period in department of cardiology of Daxing hospital of Capital Medical University. All patients signed informed consent after making reperfusion therapy decisions,and implementing interventional treatment as＆amp;nbsp;soon as possible and admitted to CCU. Results The decision time and door-to-balloon time of illustration group（ n=49 ）was significantly shorter than that of the conventional group（n=50）[（15.1 ±11.5）min vs.（25.9 ±12.9）min,（105.7 ±28.4）min vs.（117.1 ±29.2）min,P〈0. 05]. Conclusion The illustration of acute STEMI can reduce reperfusion therapy decision time and shorten the door-to-balloon time in patients with STEMI.

关 键 词：心肌梗死 心肌再灌注 简明心肌梗死图解 

分 类 号：R542.22[医药卫生—心血管疾病]