紧密型医联体模式对急性ST段抬高型心肌梗死救治效率的影响  

Effect of tight medical association model on the treatment efficiency for acute ST-segment elevation myocardial infarction

作　　者：王文斌[1] 张弓[1] 程国杰[1] 唐学弘[1] 佟子川[1] WANG Wen-bin;ZHANG Gong;CHENG Guo-jie;TANG Xue-hong;TONG Zi-chuan(Department of Cardiology,Daxing Hospital of the Capital Medical University,Beijing 102600,China)

机构地区：[1]首都医科大学大兴医院心内科,北京市102600

出　　处：《中国心血管病研究》2019年第10期904-907,共4页Chinese Journal of Cardiovascular Research

基　　金：北京市大兴区科学技术委员会支持课题(KT20190231409).

摘　　要：目的探讨紧密型医联体模式对急性ST段抬高型心肌梗死(STEMI)救治效率的影响.方法选择2017年5月至2019年5月在大兴区人民医院就诊且行急诊冠状动脉介入治疗的STEMI患者96例为研究对象,根据紧密型医联体模式运行前后将患者分为对照组和观察组.收集两组患者的临床资料和首次医疗接触至器械时间(FMC2D)、入门至球囊扩张时间(D2B)等数据,比较两组患者之间数据差异.结果对照组46例,观察组50例.两组患者的年龄、性别、高血压病史、糖尿病史、高脂血症病史及吸烟史、收缩压、心率均未见统计学差异(P>0.05).两组患者的冠状动脉病变支数、罪犯血管分布、置入支架数量、造影剂用量亦未见统计学差异(P>0.05);观察组患者的FMC2D中位数时间较对照组明显缩短(124.3min比143.2min,P<0.05),FMC2D达标率明显提高(78.5%比28.9%,P<0.05).两组患者的D2B中位数时间分别为51.8min和55.1min,未见统计学差异(P>0.05).结论紧密型医联体模式明显缩短了STEMI患者的FMC2D时间,提高了STEMI患者的救治效率.Objective: To investigate the effect of the tight medical model on the treatment efficiency of acute ST-segment elevation myocardial infarction (STEMI). Methods: 96 patients with acute ST-segment elevation myocardial infarction (STEMI) who underwent emergency coronary intervention in Daxing District People's Hospital from May 2017 to May 2019 were enrolled in the study. Patients were divided into control group and observation group. The clinical data of the two groups of patients and the data from the first medical contact to the device time (FMC2D), the entry to the balloon expansion time (D2B) were collected, and the data differences between the two groups were compared. Results: There were 46 patients in the control group and 50 patients in the observation group. There were no significant differences in age, gender, history of hypertension, history of diabetes, history of hyperlipidemia, smoking history, systolic blood pressure, and heart rate between the two groups (P>0.05). There were no significant differences in the number of coronary lesions, the distribution of vascular vessels, the number of implants, and the amount of ocular agents in the two groups (P>0.05). The median time of FMC2D in the observation group was significantly shorter than that in the control group (124.3). Min vs 143.2 min, P<0.05), the FMC2D compliance rate was significantly improved (78.5% vs 28.9%, P<0.05). The median time of D2B in the two groups was 51.8 min and 55.1 min, respectively, and the difference was not statistically significant (P>0.05). Conclution: The tight medical model significantly shortens the FMC2D time in STEMI patients and improves the efficiency of STEMI patients.

关 键 词：紧密型医联体 急性心肌梗死 ST段抬高 救治效率 

分 类 号：R542.22[医药卫生—心血管疾病]