区域性协同胸痛中心对急性ST段抬高型心肌梗死患者的救治时间及近期预后的影响  

Effect of regional collaborative chest pain center on treatment time and short-term prognosis of patients with acute ST segment elevation myocardial infarction

作　　者：胡娜妞[1] 尤炎丽[2] 虎银凤[1] 李转珍[1] Hu Naniu;You Yanli;Hu Yinfeng;Li Zhuanzhen(Department of Cardiovascular Medicine,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China;不详)

机构地区：[1]河南科技大学第一附属医院心血管内科,洛阳471000 [2]河南科技大学第一附属医院护理部,洛阳471000

出　　处：《中国药物与临床》2021年第21期3516-3519,共4页Chinese Remedies & Clinics

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20190576)。

摘　　要：目的探究在急性ST段抬高型心肌梗死患者临床救治中采取区域性协同胸痛中心模式在缩短其救治时间和改善近期预后中的应用价值。方法我院于2020年4月1日起成立区域性协同胸痛中心,从2019年10月至2020年3月间收治的急性ST段抬高型心肌梗死患者中随机选取48例设为对照组;从2020年4月至10月收治的急性ST段抬高型心肌梗死患者中随机选取48例设为观察组。对照组入院采取院内绿色通道方式,观察组入院采用区域性协同胸痛中心方式。对2组患者发病至首次医疗接触时间(S-FMC)、首次医疗接触至球囊扩张时间(FMC2B)、发病至球囊扩张时间(S2B)、总缺血时间、住院时间、不良事件发生率及1年内预后情况进行比较分析。结果观察组患者S-FMC、FMC2B、S2B、总缺血时间及住院时间与对照组相比均更短,差异有统计学意义(P<0.05)。治疗后,对照组患者球囊扩张次日心力衰竭发生率及病死率较观察组明显更高,差异有统计学意义(P<0.05)。比较2组患者不良事件发生率,对照组高于观察组,差异有统计学意义(P<0.05)。患者出院后1年内再入院率、再梗死率、心源性死亡率比较,对照组明显高于观察组,差异有统计学意义(P<0.05)。结论在急性ST段抬高型心肌梗死患者临床救治过程中,实施区域性协同胸痛中心模式不仅可有效挽救患者生命,提高抢救成功率,同时可缩短救治时间,增强救治效果,降低不良事件发生率,改善患者生存质量及预后情况。Objective To explore the application value of regional collaborative chest pain center model in the clinical treatment of patients with acute ST segment elevation myocardial infarction in shortening the treatment time and improving the short-term prognosis.Methods A regional collaborative chest pain center was established in our hospital from April 1,2020.Before the establishment,48 patients with acute ST segment elevation myocardial infarction were randomly selected as the research objects from October 2019 to March 2020;From April 2020 to October 2020,48 patients with acute ST segment elevation myocardial infarction were randomly selected as the research object.The control group was treated with green channel,while the observation group was treated with regional collaborative chest pain center.The time from onset to first medical contact(S-FMC),time from first medical contact to balloon dilatation(FMC2B),time from onset to balloon dilatation(S2B),total ischemic time,length of hospital stay,incidence of adverse events and prognosis within one year were compared between the two groups.Results The S-FMC,FMC2B,S2B,total ischemic time and hospitalization time of the observation group were shorter than those of the control group,the difference was statistically significant(P<0.05).After treatment,the incidence of psychological failure and mortality in the control group were significantly higher than those in the observation group on the day after balloon dilatation,and the difference was statistically significant(P<0.05).The incidence of adverse events in the control group was higher than that in the observation group(P<0.05).The readmission rate,reinfarction rate and cardiogenic mortality rate in the control group were significantly higher than those in the observation group within 1 year after discharge(P<0.05).Conclusion In the clinical treatment of patients with acute ST segment elevation myocardial infarction,the implementation of regional collaborative chest pain center model can not only effectively save the l

关 键 词：急性ST段抬高型心肌梗死 区域性 胸痛中心 预后 救治时间 

分 类 号：R542.22[医药卫生—心血管疾病]