院前急救联合绿色通道模式对急性心肌梗死PPCI术患者救治效果和术后不良心血管事件的影响  

Effect of Prehospital Emergency Combined with Green Channel Mode on the Treatment Effect and Adverse Cardiovascular Events after PPCI in Patients with Acute Myocardial Infarction

作　　者：徐彬[1] 陈长征 方杰 周飞 施鹏[1] XU Bin;CHEN Chang-zheng;FANG Jie;ZHOU Fei;SHI Peng(Department of Prehospital Emergencyy Yunnan Emergency Center,Kunming,Yunnan,650106,China;Department of Internal Medicine-Cardiovascular,920 Hospital of Joint Service Support Force of Chinese People's Liberation Army,Kunming,Yunnan,650118,China;Department of Internal Medicine-Cardiovascular,Kunming Yan'an Hospital,Kunming,Yunnan,650051,China;Department of Emergency,The First Affiliated Hospital of Kunming Medical University,Kunming,Yunnan,650032,China)

机构地区：[1]云南省急救中心院前急救科,云南昆明650106 [2]中国人民解放军联勤保障部队第920医院心血管内科,云南昆明650118 [3]昆明市延安医院心血管内科,云南昆明650051 [4]昆明医科大学第一附属医院急诊科,云南昆明650032

出　　处：《现代生物医学进展》2021年第10期1908-1911,共4页Progress in Modern Biomedicine

基　　金：云南省中青年学术和技术带头人后备人才基金项目(2014HB035)。

摘　　要：目的:探讨院前急救联合绿色通道模式对行急诊经皮冠状动脉介入术(PPCI)的急性心肌梗死(AMI)患者救治效果和术后不良心血管事件的影响.方法:选取2017年1月~2019年6月期间我院收治的行PPCI术的AMI患者200例,采用随机数字表法将患者分为对照组(n=100)和研究组(n=100),对照组患者予以传统急诊模式,研究组患者予以院前急救联合绿色通道模式,比较两组患者救治效果、满意度、确诊时间、心肌再灌注治疗时间、住院时间、术后不良心血管事件.结果:研究组抢救时间、急救反应时间、确诊时间、心肌再灌注治疗时间以及住院时间均短于对照组(P<0.05).研究组治疗后的临床总有效率高于对照组(P<0.05).研究组的总满意度为91.00%(91/100),高于对照组的76.00%(76/100) (P<0.05).研究组术后不良心血管发生事件发生率为2.00%(2/100),低于对照组的17.00%(17/100)(P<0.05).结论:行PPCI术的AMI患者给予院前急救联合绿色通道模式,救治效果显著,可有效提高患者满意度,减少术后不良心血管事件的发生率.Objective:To explore the effect of prehospital emergency combined with green channel mode on the treatment effect and adverse cardiovascular events in patients with acute myocardial infarction(AMI)undergoing percutaneous coronary intervention(PPCI).Methods:From January 2017 to June 2019,200 patients with AMI who underwent PPCI in our hospital were selected,patients were divided into two groups:control group(n=100)and study group(n=100).Patients in the control group were treated with traditional emergency mode,while patients in the study group were treated with prehospital emergency combined with green channel mode.The treatment effect,satisfied,diagnosis time and myocardial reperfusion treatment time,hospitalization time and adverse cardiovascular events were compared between the two groups.Results:The rescue time,emergency response time,diagnosis time,myocardial reperfusion treatment time and hospitalization time of the study group were shorter than those of the control group(P<0.05).The total clinical effective rate of the study group was higher than that of the control group(P<0.05).The total satisfied of the study group was 91.00%(91/100),which was higher than that of the control group 76.00%(76/100)(P<0.05).The incidence of adverse cardiovascular events of the study group was 2.00%(2/100),which was lower than that of the control group 17.00%(17/100)(P<0.05).Conclusion:Patients with AMI undergoing PPCI are given prehospital emergency combined with green channel mode,the treatment effect is significant,which can effectively improve patients’satisfaction and reduce the incidence of adverse cardiovascular events.

关 键 词：院前急救 绿色通道模式 急性心肌梗死 经皮冠状动脉介入术 救治效果 心血管事件 

分 类 号：R542.22[医药卫生—心血管疾病]