不同就诊方式对急性前壁ST段抬高心肌梗死患者救治效率及预后的影响  

Effects of different medical treatments on the treatment efficiency and prognosis of patients with acute anterior ST segment elevation myocardial infarction

作　　者：宋婉宁 

机构地区：[1]郑州市中心医院,450000

出　　处：《首都食品与医药》2021年第13期112-114,共3页Capital Food Medicine

摘　　要：目的探讨不同就诊方式对急性前臂ST段抬高型心肌梗死(STEMI)患者救治效率及预后的影响.方法2019年1月~2019年12月选取本院急诊科收治的STEMI患者115例,根据患者就诊方式差异分为常规就诊组(A组,n=35),120来院组(B组,n=40),院前急救系统转运组(EMS)(C组,n=40),比较3组患者总缺血时间、院前延误时间、入院后至导管室等待时间、门-囊时间(DTB)、门-字时间(DTS)、字囊时间(STB)、介入操作时间、DTB达标率、患者救治成功率、医疗纠纷发生率及家属满意率.结果C组DTB达标率及满意率高于A组、C组(P<0.05),而C组、B组、救治成功率高于A组(P<0.05),而C组医疗纠纷发生率低于A组和B组(P<0.05).C组总缺血时间、院前延误时间、入院后至导管室等待时间、DTB、DTS、STB、介入操作时间均短于A组和B组(P<0.05),而B组总缺血时间、院前延误时间短于A组(P<0.05).结论EMS就诊方式能有效提高急诊STEMI患者救治效果,缩短患者救治时间,提高患者DTB达标率及救治成功率,从而提高患者家属对急诊的满意度.0b jective To explore the ffet of different treatments on the Ireatment efficiency and prognosis of patients with.acute ST-segment elevation myocardial infaretion(STEMI).Methods 115 cases of STEMI patients admited 1o the emergency department of our hospital were divided into routine treatment group(group A.n=35),and group of 120 patients(group B.n)=40,the pre-I hospital emergency system transfer group(EMS)(group C,n=40)from January 2019 to December 2019.The lotal ischermie time,prehospital delay time.waiting time from the hospital to the catheter rom,and door-capsule time(DTB),door-word time(DTS),letter bag.time(STB),emergency trealment time.DTB compliance rale,patient treatment sueces rate.medical dispute ineidence rate and family satisfaction rate of three groups were empared.Results The DTB complianee rate and salisfaction rate of of group C were higher than groups A and C(P<0.05).while the success rates of Irealment in groups C.grop B were higher than group A(P<0.05).while the ineidence of medieal dispules of group C was lower than Group A and B(P<0.05).The total.ischemia time.pre-hospital delay time.waiting time from admission to the cathelerization room,DTB,DTS.STB.emergency treatment time in group C were shorter than those in groups A and B(P<0.05),but total lack of Blond time and pre-hospital delay time were shorter than those in group A(P<0.05).Conc lus ion EMS treatment can ffectively improve the treatment effeet of emergency STEMI patiens,shorten the treatment time,improve the DTB compliance rate and the surcess rate of trealment.so as 1o improve the satisfaction of family memhers of patients with emergency treatment.

关 键 词：不同就诊方式 急性前臂ST段抬高型心肌梗死 救治效率 预后 

分 类 号：R472[医药卫生—护理学]