院外救治345例ST段抬高型心肌梗死患者不同流程探讨  

Discussion on the pre-hospital emergency procedure of 345 cases of STEMI patients

作　　者：吴敏 陈志刚 邱晨 潘鑫 何斌 纪学颖 花长松 

机构地区：[1]镇江市急救中心,江苏212003

出　　处：《中国急救复苏与灾害医学杂志》2018年第2期128-130,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的探讨急性ST段抬离型心肌梗死（ST—elevatlon myocardial infarction，STEMI）患者存院外救治流程中加入无线传输12导联心电图的影响。方法采用回顾性分析方法，分别对镇江市急救中心2014年不采用心电图传输流程救治的急性STEMI患者（对照组）和2015-2016年采用传输ECG流程救治的急性STEMI患者（观察组）作为研究对象。比较2组冠状动脉介入治疗（peripheralcomponentinterconnect，PCI）时间，并分析两组出院生存率的差异。结果2组患者基本临床情况比较，差异无统计学意义（P〉0．05）；2组患者胸痛发生至到达院内急诊时间比较，差异无统计学意义（P〉0．05）。观察组从入院到PCI治疗的时间与对照组相比明显缩短，差异有统计学意义（P〈0．01）。对照组的生存出院率相比观察组明显降低，差异有统计学意义（P〈0．01）。结论院外救治急性STEMI患者采用无线传输12导联ECG流程，可影响患者入院到PCI治疗的时间和出院生存率。objective To investigate the effect of wireless conduction 12-lead eleetroeardiogram （ECG） in patients with acute ST-elevation myocardial infarction （ICM）. Methods A retrospective analysis was performed on tile patients with acute ST-segment elevation myocardial infarction （control group n = 118） who were treated with ECG transmission procedure in Zhenjiang City Emergency Center, 2014-01-01 to 2014-12-31. And 2015-01-01 to 2016-12-31 patients with acute ST-segment elevation myocardial infaretion treated with ECG prueess were enrolled in this study （observation group, n=227）. The treatment time of coronary intervention was compared between the two groups （P 〉 0.05）. There was no significant difference between the two groups （P〉0.05） .There was no significant differenee between the two groups （P〉0.05） .There was no significant difference between the two groups （P 〉0.05） .There was no significant difference between the two groups （P 〈0.01）. The survival rate of the control group was significantly lower than that of the eontrol group （P〈0.01）, and the difference between the two groups was statistically significant （P〈0.01）.Conclusion The 12-lead ECG process of patients with acute ST-segment elevation myocardial infarction in patients with prehospital treatment mainly affects the time of hospitalization and the survival rate of patients with PCI.

关 键 词：院外急救 急性冠脉综合征 ST段抬高型心肌梗死 流程 

分 类 号：R541.4[医药卫生—心血管疾病]