胸痛中心模式在急性ST段抬高型心肌梗死患者急诊PCI中的应用分析  

The influence of chest pain center on emergency management of acute ST-segment elevation myocardial infarction

作　　者：王欢[1] 唐礼江[1] 金红峰[1] 汤益民[1] 毛萍[1] 陈建明[1] 

机构地区：[1]浙江医院心内科,杭州市310013

出　　处：《心电与循环》2015年第6期433-436,共4页Journal of Electrocardiology and Circulation

摘　　要：目的研究胸痛中心成立在ST段抬高型心肌梗死(STEMI)患者处理中的作用。方法回顾分析2013年1月至2014年12月接受了急诊PCI的STEMI患者资料。以胸痛中心急救模式接诊的STEMI患者为观察组48例,胸痛中心模式运行之前接诊的患者54例为对照组。比较组间D-to-B时间、手术时间、住院天数、医疗花费、住院期间不良心血管事件。结果观察组患者D-to-B时间、平均住院天数[(90.6±15.8)min、(9.0±3.1)d],较对照组[(99.0±16.9)min、(11.4±5.4)d]缩短,差异均有统计学意义(均P<0.05)。手术时间[(68.4±13.7)、(66.2±14.2)min]、医疗花费[(4.54±1.59)、(5.81±2.29)万元1组间差异无统计学意义(均P>0.05)。两组间心血管事件发生率差异无统计学意义(均P>0.05)。结论胸痛中心模式能够显著缩短D-to-B时间及住院时间。Objective To investigate the influence of chest pain center on emergency management of acute ST- segment elevation myocardial infarction （STEMI）.Methods The data of STEMI patients underwent primary percutaneous coronary intervention during January 2013 to December 2014 were retrospectively analyzed.48 patients admitted via chest pain center （group A） and 54 patients admitted before the setting up of chest pain center （group B）.From door to ball oon （D- to- B） time,operative time,hospital stay and medical cost,adverse cardiovascular events during hospitalization were compared between the two groups.Results The D- to- B time and hospital stay were significantly shorter in group A [（90.6±15.8）min、（9.0±3.1）d] than in group B [（99.0±16.9）min、（11.4±5.4）d] （all P〈0.05）.There was no significant difference of operative time,medical cost and adverse cardiovascular events.Conclusion Chest pain center mode can shorten D- to- B time and hospital stay.

关 键 词：ST段抬高型心肌梗死 急诊PCI 胸痛中心 

分 类 号：R542.22[医药卫生—心血管疾病]