急救绿道APP管理模式对于急性ST段抬高型心肌梗死患者救治的影响  

Effect of emergency greenway APP management model on the treatment of patients with acute ST-segment elevation myocardial infarction

作　　者：高炬[1] 翟东东 曲涛[1] 张萌[3] 丁春华[1] 宋佳[2] 李成义[2] 李继来[3] Gao Ju;Zhai Dongdong;Qu Tao;Zhang Meng;Ding Chunhua;Song Jia;Li Chengyi;Li Jilai(Department of Cardiology,Aerospace Center Hospital,Beijing 100049,China;不详)

机构地区：[1]航天中心医院心脏医学部,北京100049 [2]航天中心医院医务部,北京100049 [3]航天中心医院院长办公室,北京100049

出　　处：《中国循证心血管医学杂志》2021年第10期1241-1243,1246,共4页Chinese Journal of Evidence-Based Cardiovascular Medicine

摘　　要：目的探讨建立急救绿道APP管理模式对急性ST段抬高型心肌梗死(ASTEMI)患者救治的影响。方法选取航天中心医院心脏医学部急救绿道APP管理模式建立之前2017年6月至2018年6月收治的ASTEMI患者87例为对照组,急救绿道APP管理模式成立之后2018年7月至2019年7月收治的ASTEMI患者108例为观察组。比较两组发病至首次医疗救治时间、入院后首份心电图完成时间、入门-球囊(D2B)时间、住院期间心力衰竭发生率、住院时长、住院期间死亡率、住院期间平均花费。结果两组发病至首次医疗救治时间比较差异无统计学意义(P>0.05);观察组入院后首份心电图完成时间较对照组缩短,有统计学差异(P<0.01);观察组D2B时间较对照组缩短(P<0.01);观察组住院期间心力衰竭发生率较对照组明显降低(P<0.05);住院期间死亡率两组比较无统计学差异(P>0.05);观察组住院时长较对照组降低(P<0.01),观察组住院期间平均花费较对照组明显降低(P<0.05)。结论采用急救绿道APP模式管理ASTEMI患者进一步提高了ASTEMI再灌注治疗的水平,缩短了心肌总缺血时间,减少患者住院时长,降低医疗支出,临床实践中简便,易于推广,实用性强。Objective To explore the effect of establishing emergency greenway APP management model on the treatment of patients with acute ST-segment elevation myocardial infarction(STEMI).Methods 87 astemi patients admitted from June 2017 to June 2018 before the establishment of the emergency greenway app management mode of the Cardiology Department of Aerospace Center Hospital were selected as the control group,and 108 ASTEMI patients admitted from July 2018 to July 2019 after the establishment of the emergency greenway app management mode were selected as the observation group.The time from onset to the first medical treatment,the completion time of the first ECG after admission,the entry balloon(D2B)time,the incidence of heart failure during hospitalization,the length of hospitalization,the mortality during hospitalization and the average cost during hospitalization were compared between the two groups.Results There was no significant difference between the observation group and the control group from the onset to the first medical treatment(P>0.05).The D2B time in the observation group was shorter than that in the control group(P<0.01).The incidence of heart failure in the observation group was significantly lower than that in the control group(P<0.05).There was no significant difference in mortality between the two groups(P>0.05).The length of stay in the observation group was lower than that in the control group(P<0.01),and the average cost in the observation group was significantly lower than that in the control group(P<0.05).Conclusion The management of patients with acute ST-segment elevation myocardial infarction using the emergency greenway APP model further improves the level of STEMI reperfusion therapy,shortens the total myocardial ischemia time,reduces the length of hospital stay,reduces medical expenses,and it is simple,easy to promote and practical in clinical practice.

关 键 词：急救绿道APP 急性心肌梗死 管理模式 

分 类 号：R542.22[医药卫生—心血管疾病]