医联体建设下远程心电会诊触发快速反应对急性冠脉综合征患者的影响  

Influence of rapid response triggered by remote electrocardiographic consultation on patients with acute coronary syndrome under the background of medical alliance construction

作　　者：丁玲岩[1] 李秀征[1] 刘艳 Ding Lingyan;Li Xiuzheng;Liu Yan(Special Inspection Section,Binzhou Central Hospital,Binzhou 251700,China)

机构地区：[1]山东省滨州市中心医院特检科,251700

出　　处：《国际医药卫生导报》2021年第15期2288-2291,共4页International Medicine and Health Guidance News

基　　金：山东省医药卫生科技发展计划项目(2019WS008)。

摘　　要：目的探讨医联体建设背景下远程心电会诊触发快速反应对基层地区急性冠脉综合征(acute coronary syndrome,ACS)患者救治及短期预后的影响。方法采用整群抽样的方法收集2018年6月至2020年10月经滨州市中心医院远程心电会诊诊断为ACS并在心内科住院治疗的患者63例为会诊组,其中男性39例,女性24例,年龄范围为41~78岁,平均年龄61.1岁。以同期未经心电中心会诊在心内科住院治疗的ACS患者59例作为对照组,其中男性39例,女性20例,年龄范围为40~77岁,平均年龄60.9岁。进行回顾性分析和介入术后随访,比较两组住院费用、进门至球囊扩张时间、介入治疗时长及出院后3个月心血管不良事件的发生率,分析远程心电会诊对基层ACS患者救治效果及短期预后的影响。结果对照组住院总费用(2.53±2.01)万元,会诊组为(2.61±2.04)万元,两组比较差异无统计学意义(t=2.514,P>0.05)。对照组进门至球囊扩张时间为(87.46±36.38)min,会诊组为(61.39±26.31)min,两组比较差异有统计学意义(t=4.557,P<0.05)。对照组介入治疗时长为(47.96±8.01)min、会诊组为(50.32±8.99)min,两组比较差异无统计学意义(t=1.533,P>0.05)。对照组与会诊组患者出院后3个月主要不良心血管时间发生率分别为54.24%(32/59)、52.38%(33/63),差异无统计学意义(χ2=4.213,P>0.05)。结论医联体建设背景下远程心电会诊触发快速反应机制可以有效促进基层ACS患者的早期识别,减少患者进门至球囊扩张时间,改善短期预后。Objective To explore the influence of rapid response triggered by electrocardiographic consultation on the treatment and short-term prognosis of patients with acute coronary syndrome(ACS)in grass-root areas under the background of medical alliance construction.Methods The cluster sampling method was used to collect 63 patients with ACS diagnosed by remote electrocardiographic consultation in Department of Cardiology of Binzhou Central Hospital from June,2018 to October,2020 as a consultation group,including 39 males and 24 females;they were 41-78 years old,with an average of 61.1.Fifty-nine patients with ACS who were hospitalized in Department of Cardiology of Binzhou Central Hospital without consultation from Electrocardiographic Center were selected as a control group,including 39 males and 20 females;they were 40-77 years old,with an average of 60.9.The patients were retrospectively analyzed and followed up after the interventional treatment.The hospitalization costs,the times from entrance to balloon dilatation,the durations of interventional treatment,and the incidences of cardiovascular adverse events 3 months after discharge were compared between the two groups.The influence of remote electrocardiographic consultation on the patients'treatment effect and short-term prognosis was analyzed.Results The total hospitalization cost was(25.3±20.1)thousand yuan in the control group,and was(26.1±20.4)thousand yuan in consultation group(t=2.514,P>0.05).The time from entrance to balloon dilatation was(87.46±36.38)min in the control group,and was(61.39±26.31)min in the consultation group(t=4.557,P<0.05).The duration of interventional treatment was(47.96±8.01)in the control group,and was(50.32±8.99)min in the consultation group(t=1.533,P>0.05).The incidence of cardiovascular adverse events 3 months after discharge was 54.24%(32/59)in the control group,and was 52.38%(33/63)in the consultation group(χ2=4.213,P>0.05).Conclusion The rapid response mechanism triggered by remote electrocardiographic consultation can e

关 键 词：远程 心电会诊 医联体 快速反应 急性 冠脉综合征 影响 

分 类 号：R541.4[医药卫生—心血管疾病]