设立胸痛中心对急性ST抬高型心梗患者再灌注时间的影响  

Effect on the Time of Reperfusion in Patients with Acute ST Elevation Myocardial Infarction

作　　者：周丽英[1] 蒋龙元[2] 关紫云[1] 叶镱[1] 何家成 余为治[1] 蔡阳林[1] 

机构地区：[1]广东省佛山市南海区人民医院急诊科,528200 [2]中山大学孙逸仙纪念医院急诊科

出　　处：《岭南急诊医学杂志》2017年第3期217-218,225,共3页Lingnan Journal of Emergency Medicine

基　　金：广东省佛山市科技创新项目(00073671200116133);广东省佛山市科技局科研项目(2015AB00452)

摘　　要：目的:探讨设立胸痛中心对急性ST抬高型心肌梗死(STEMI)患者治疗过程的影响。方法:以2015年8月1日到2015年12月10日由南海区人民医院急诊科接诊并收治入院的STEMI患者40例为对照组,以2015年12月11日至2016年2月20日该院急诊科收治的STEMI患者38例为观察组,比较两组临床资料和临床结局。结果:观察组在首次接触-介入室时间、首次接触-冠脉开通时间(FMC-to-B)、患者满意度方面均明显优于对照组,分别是[(54.2±9.2)min vs(93.2±32.7)min,P<0.05]、[(87.5±25.5)min vs(112.5±19.5)min,P<0.05]、[(98.5±5.3)%vs(86.8±4.6)%,P<0.05]。结论:设立胸痛中心能使STEMI患者的抢救从开始到确定性治疗的时间最小化,抢救过程最优化。Objective：To explore the effect of chest pain center on the treatment of acute ST elevation myocardial infarction（STEMI）. Methods：40 patients with STEMI admitted to the emergency department were classified as control group from August 1,2015 to December 10,2015 in the People＇s hospital of Nanhai district. 38 patients with STEMI admitted to the emergency department were classified as observation group from December 11,2015 to February 20,2016 in the hospital. The clinical data and clinical outcomes were compared between the two groups. Results：The first contact-intervention room time,the first contact-opening time（FMC-to-B）and satisfaction of the patients in the observation group were significantly better than those in the control group,[（54.2±9.2）min vs（93.2±32.7 min）,P〈0.05],[（87.5±25.5）min vs（112.5±19.5 min）,P〈0.05],[（98.5±5.3）% vs（86.8±4.6）%. P〈0.05]. Conclusion：Establishment of chest pain center can minimize the time of the rescue to the definitive treatment.

关 键 词：胸痛中心 急性ST抬高型心肌梗死 再灌注时间 

分 类 号：R542.22[医药卫生—心血管疾病]