区块化管控急性ST段抬高型心肌梗死急救绿色通道的效果分析  

Analysis of effect on acute ST-segment elevation myocardial infarction first aid green channel with management and quality control of area segmentation method

作　　者：王佐圣 徐养平 许万鹏 张海峰 Wang Zuosheng;Xu Yangping;Xu Wanpeng;Zhang Haifeng(Chest Pain Center,the Third Affiliated Hospital of Gansu University of Traditional Chinese Medicine,Baiyin 730900,Gansu,China;Department of Emergency,the Third Affiliated Hospital of Gansu University of Traditional Chinese Medicine,Baiyin 730900,Gansu,China)

机构地区：[1]甘肃中医药大学第三附属医院胸痛中心,甘肃白银730900 [2]甘肃中医药大学第三附属医院急诊科,甘肃白银730900

出　　处：《中国中西医结合急救杂志》2021年第2期147-149,共3页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：甘肃省科技计划项目(20JR10RA773);甘肃省白银市科技计划项目(2014-2-61Y)。

摘　　要：目的观察区块化管控急性ST段抬高型心肌梗死(STEMI)急救绿色通道的效果.方法回顾性分析甘肃中医药大学第三附属医院急诊科收治的行直接经皮冠状动脉介入治疗(PPCI)的104例STEMI患者的临床资料.以2018年6月至2019年2月通过常规急救绿色通道流程救治的38例患者作为对照组,以2019年3月至12月通过区块化管控STEMI急救绿色通道流程救治的66例患者作为观察组.记录两组急诊医生首诊时间、心内科医生会诊时间、患者在急诊科停留时间、导管室激活时间和患者入院至行球囊扩张(D-to-B)时间.结果观察组心内科医生会诊时间、患者在急诊科停留时间、导管室激活时间和D-to-B时间均较对照组明显缩短〔心内科医生会诊时间(min):9.35±6.89比17.63±12.22,患者在急诊科停留时间(min):35.41±14.81比47.68±15.38,导管室激活时间(min):12.68±9.88比17.58±12.86,D-to-B时间(min):65.74±18.86比76.13±16.82,均P<0.05〕;但两组急诊医生首诊时间比较差异无统计学意义(min:4.74±1.62比4.42±1.67,P>0.05).结论区块化管控STEMI急救绿色通道可对每个工作区块实施精准质控,促进各相关科室密切协作,保持急救绿色通道持续高效运行,管理效果良好.Objective To observe the effect on treating patients with acute ST-segment elevation myocardial infarction(STEMI)by STEMI first aid green channel with management and quality control of zone segmentation method.Methods A retrospective approach was conducted;the clinical data of 104 acute STEMI patients treated with primary percutaneous coronary intervention(PPCI)in the emergency department of the Third Affiliated Hospital of Gansu University of Traditional Chinese Medicine were analyzed and the patients were divided into two groups:observation group and control group.The patients in the control group were treated and rescued by the conventional first-aid green channel process from June 2018 to February 2019(38 cases),and the patients in observation group were treated by the STEMI first-aid green channel process with area segmentation method management and quality control from March 2019 to December 2019(66 cases).The time of emergency doctor firstly diagnosed in reception,time of consultation for doctors in cardiology department,time of stay in emergency department,time of activation in catheter chamber and time from admission to balloon expansion(D-to-B)of two groups were recorded.Results The time of consultation for doctors in cardiology department,time of stay in emergency department,time of activation in catheter chamber and D-to-B time in the observation group were significantly shorter than those in the control group[time of consultation(minutes):9.35±6.89 vs.17.63±12.22,time of stay in emergency department(minutes):35.41±14.81 vs.47.68±15.38,time of activation in catheter chamber(minutes):12.68±9.88 vs.17.58±12.86,D-to-B time(minutes):65.74±18.86 vs.76.13±16.82,all P<0.05].However,there was no significant difference between the two groups in the first visiting diagnostic time by emergency doctor(minutes:4.74±1.62 vs.4.42±1.67,P>0.05).Conclusion The management and quality control of STEMI first aid green channel by area segmentation method can achieve precise quality control for each work block,pro

关 键 词：急性ST段抬高型心肌梗死 急救绿色通道 区块化 管理和质控 效果 

分 类 号：R47[医药卫生—护理学]