优化急诊流程对不同部位的急性ST抬高型心梗患者短期预后的影响  

Effect of optimization of emergency procedure on short-term prognosis of patients with acute ST segment elevation myocardial infarction in different parts

作　　者：薛刚[1] 王志方[2] 苏淑红[2] 刘志强[2] Xue Gang;Wang Zhifang;Su Shuhong;Liu Zhiqiang(Xinxiang Medical University,Henan Province 453003;The First Special Department,the Central Hospital of Xinxiang City,453003)

机构地区：[1]新乡医学院,河南453003 [2]新乡市中心医院特需一科,453003

出　　处：《中国社区医师》2018年第11期62-63,共2页Chinese Community Doctors

基　　金：新乡市重点科技攻关计划项目(ZG15031)~~

摘　　要：目的:探讨优化急诊救治流程对不同部位的急性ST段抬高型心肌梗死(STEMI)患者短期预后的影响。方法:收治行急诊经皮冠状动脉介入治疗(PCI)的急性STEMI患者283例,按梗死部位和入门-球囊扩张(Door-to-Ballon,D2B)时间进行分组,分析缩短D2B时间分别对前壁、非前壁STEMI患者短期预后的影响。结果:经优化急诊救治流程后,急性非前壁STEMI患者院内心力衰竭发生率降低(P<0.05)。结论:优化急诊救治流程能降低非前壁急性STEMI患者的院内心力衰竭发生率。Objective:To explore the effect of optimization of emergency procedure on short-term prognosis of patients with acute ST segment elevation myocardial infarction in different parts.Methods:283 patients with acute STEMI treated with emergency percutaneous coronary intervention(PCI)were selected.They were grouped according to the location of the infarct and the Door-to-Ballon expand time.We analyzed the effect of shortening the D2B time on the short-term prognosis of the anterior and non anterior wall STEMI patients.Results:After optimizing the emergency treatment process,the incidence of heart failure in patients with acute non anterior wall STEMI was decreased(P<0.05).Conclusion:The optimization of emergency treatment process can reduce the incidence of heart failure in patients with non anterior wall acute STEMI.

关 键 词：优化急诊救治流程 ST段抬高型心肌梗死 梗死部位 入门至球囊扩张时间 

分 类 号：R542.22[医药卫生—心血管疾病]