床旁快速检测在急性胸痛患者急诊预检分诊中的作用  

The role of point-of-care testing in emergency pre-examation triage of patients with acute chest pain

作　　者：王颖[1] 魏霄瑾 梁志青 顾伟[1] Wang Ying;Wei Xiaojin;Liang Zhiqing;Gu Wei(Emergency Medicine Center,Chuiyangliu Hospital Affiliated to Tsinghua University,Beijing 100022,China;Medical Department,Chuiyangliu Hospital Affiliated to Tsinghua University,Beijing 100022,China)

机构地区：[1]清华大学附属垂杨柳医院急救医学中心,北京100022 [2]清华大学附属垂杨柳医院医务部,北京100022

出　　处：《中国医刊》2021年第10期1091-1094,共4页Chinese Journal of Medicine

摘　　要：目的探讨床旁快速检测在急性胸痛患者急诊预检分诊中的作用。方法选取2018年1月至2019年12月清华大学附属垂杨柳医院收治的1829例急性胸痛患者为研究对象,按照入院时间不同分为两组,即2018年1—12月收治的848例急性胸痛患者为对照组,2019年1—12月收治的981例急性胸痛患者为研究组。对照组采用传统急诊预检分诊方法,研究组采用床旁快速检测结合传统急诊预检分诊方法。比较分析两组患者中病情严重程度Ⅰ、Ⅱ级患者急诊预检分诊准确率、急性心肌梗死患者检出率以及急性心肌梗死患者在急诊科的停留时间和门球时间。结果研究组中Ⅰ、Ⅱ级患者急诊预检分诊准确率、急性心肌梗死患者检出率均显著高于对照组(P<0.05)。研究组中急性心肌梗死患者在急诊科的停留时间和门球时间均显著短于对照组(P<0.05)。结论采用床旁快速检测技术结合传统急诊预检分诊方法可对急性胸痛患者做出快速准确分诊,提升急性心肌梗死患者的救治效率,在急性胸痛患者急诊预检分诊中具有较高应用价值。Objective To investigate the role of point-of-care testing(POCT)in emergency pre-examation and triage in patients with acute chest pain.Method 1829 patients with acute chest pain in Chuiyangliu Hospital Affiliated to Tsinghua University were selected as the study subjects from January 2018 to December 2019.According to the different hospitalization time,they were divided into two groups.848 patients with acute chest pain treated from January 2018 to December 2018 were selected as the control group,and 981 patients with acute chest pain admitted from January 2019 to December 2019 were included in the study group.The control group was treated with traditional pretest triage method,and the study group was treated with POCT combined with traditional pretest triage method.The accuracy of emergency triage in gradeⅠandⅡpatients,the detection rate of acute myocardial infarction patients,and the emergency department residence time and doorball time of acute myocardial infarction patients in the two groups were compared and analyzed.Result The accuracy of emergency triage in grade gradeⅠandⅡpatients and the detection rate of acute myocardial infarction patients in the study group were significantly higher than those in the control group(P<0.05).The emergency department residence time and doorball time of acute myocardial infarction patients in study group were significantly shorter than those in control group(P<0.05).Conclusion POCT technology combined with traditional pre-examination method can make rapid and accurate triage for patients with acute chest pain,improve the treatment efficiency of patients with acute myocardial infarction,and have high application value in emergency pre-examination and triage for patients with acute chest pain.

关 键 词：急性胸痛 床旁快速检测 急诊预检分诊 急性心肌梗死 门球时间 

分 类 号：R459.7[医药卫生—急诊医学]