胸痛联合APP在促进医院胸痛中心建设中应用研究  

Application of combined chest pain APP in promoting the construction of hospital chest pain center

作　　者：孙林丽[1] 汪坤[2] 严凌[2] 邓英虎[3] SUN Lin-li;WANG Kun;YAN Ling;DENG Ying-hu(Department of Medical Administration,Tongling People′s Hospital,Tongling Anhui 244000,China;Chest Pain Center,Tongling People′s Hospital,Tongling Anhui 244000,China;Orthopaedic Clinic,Tongling People′s Hospital,Tongling Anhui 244000,China)

机构地区：[1]安徽省铜陵市人民医院医务处,244000 [2]安徽省铜陵市人民医院胸痛中心病区,244000 [3]安徽省铜陵市人民医院骨科诊疗中心,244000

出　　处：《蚌埠医学院学报》2023年第5期594-596,共3页Journal of Bengbu Medical College

基　　金：安徽省医学会卫生健康软科学研究项目(2020WR03024)。

摘　　要：目的:评价胸痛联合APP在胸痛中心建设中的应用效果。方法:将胸痛联合APP启用前(2020年1月至2021年1月)实施经皮冠状动脉介入(PCI)手术的43例急性ST段抬高型心肌梗死(STEMI)病人纳入对照组,将启用后(2021年2月至2022年2月)实施PCI手术的76例STEMI病人纳入观察组。比较2组病人首诊医师接诊时间、首份心电图时间、导管室激活时间、双抗给药时间、导丝通过时间和院内死亡率。结果:观察组首诊医师接诊时间、首份心电图时间、导管室激活时间、双抗给药时间、导丝通过时间均明显少于对照组(P<0.01)。观察组病人院内死亡率为2.63%(2/76),与对照组的9.30%(4/43)差异无统计学意义(P>0.05)。结论:胸痛中心建设中应用胸痛联合APP能有效缩短STEMI病人急救时间,提高救治效率,具有临床应用价值。Objective:To evaluate the efficacy of chest pain combination APP in the construction of chest pain center.Methods:A total of 43 ST-segment elevated acute myocardial infarction(STEMI)patients undergoing percutaneous coronary intervention(PCI)before the application of chest pain combination APP(from January 2020 to January 2021)were included in the control group,and 76 STEMI patients undergoing PCI after the application of chest pain combination APP(from February 2021 to February 2022)were included in the observation group.The time of attending the first visit,first electrocardiogram time,catheter activation time,double anti-drug administration time,wire passing time and in-hospital mortality rate of the two groups were compared.Results:The time of attending the first visit,first electrocardiogram time,catheter activation time,double anti-drug administration time and wire passing time in the observation group were significantly less than those in the control group(P<0.01).The in-hospital mortality rate of patients in the observation group was 2.63%(2/76),which was not significantly different from that of 9.30%(4/43)in the control group(P>0.05).Conclusions:The application of chest pain combination APP in the construction of chest pain center can effectively shorten the emergency response time of STEMI patients,and improve the treatment efficiency,which has good clinical application value.

关 键 词：心肌梗死 经皮冠状动脉介入术 胸痛中心 胸痛联合APP 

分 类 号：R542.22[医药卫生—心血管疾病]