基层胸痛救治单元对急性ST段抬高型心肌梗死患者SO-to-FMC时间、D-to-N时间的影响  

Effect of chest pain units in grassroots hospitals on SO-to-FMC time and D-to-N time in patients with acute ST-segment elevation myocardial infarction

作　　者：王珊 苏芙容 刘慧娴 WANG Shan;SU Fu-rong;LIU Hui-xian(Department of Intensive Care Medicine,Longmen County People's Hospital,Huizhou 516800,China)

机构地区：[1]龙门县人民医院重症医学科,516800 [2]龙门县人民医院康复医学科,516800 [3]龙门县人民医院全科医学科,516800

出　　处：《中国现代药物应用》2023年第11期40-44,共5页Chinese Journal of Modern Drug Application

基　　金：2021惠州市科技计划(医疗卫生)项目(项目编号:2021WC0106495)。

摘　　要：目的 探讨基层胸痛救治单元对急性ST段抬高型心肌梗死(STEMI)患者就诊率、溶栓率、发病到首次医疗接触(SO-to-FMC)时间、入门至开始溶栓(D-to-N)时间的影响。方法 124例急性STEMI患者,根据救治方法不同分为对照组和研究组,每组62例。对照组患者接受常规救治方法进行治疗,研究组患者接受基层胸痛救治单元进行治疗。对比两组患者临床指标[SO-to-FMC时间、首次医疗接触到双抗血小板(FMC-to-双抗)时间、D-to-N时间]、治疗前后希望评分,预后指标[左室射血分数(LVEF)、左室舒张末期内径(LVEDD)、脑利钠肽前体(pro-BNP)、心力衰竭发生率、住院时间]。结果 研究组患者的SO-to-FMC时间、FMC-to-双抗时间、D-to-N时间分别为(119.25±10.16)、(16.28±7.23)、(19.38±4.25)min,均短于对照组的(178.55±16.34)、(26.07±8.15)、(28.37±5.11)min,差异具有统计学意义(P<0.05)。治疗前,两组患者的对现实和未来的态度、采取积极行动的态度、与他人保持亲密关系评分及总分对比差异无统计学意义(P>0.05);治疗后,两组患者的对现实和未来的态度、采取积极行动的态度、与他人保持亲密关系评分及总分均高于本组治疗前,研究组患者的对现实和未来的态度评分(13.79±1.76)分、采取积极行动的态度评分(13.85±1.98)分、与他人保持亲密关系评分(13.75±2.11)分及总分(41.39±3.75)分均高于对照组的(11.18±1.45)、(11.53±1.58)、(11.27±1.76)、(33.98±2.48)分,差异具有统计学意义(P<0.05)。研究组患者的LVEF(59.27±9.05)%高于对照组的(51.26±7.13)%,LVEDD(64.26±7.06)mm小于对照组的(69.27±11.15)mm,pro-BNP(975.26±175.26)ng/L、心力衰竭发生率6.45%低于对照组的(2478.23±213.09)ng/L、25.81%,住院时间(10.09±1.19)d短于对照组的(14.05±1.73)d,差异具有统计学意义(P<0.05)。结论 在进行急性STEMI患者的救治过程中,基层胸痛救治单元的有效建设能够提高救治效果,缩短整个救Objective To discuss the effect of chest pain units in grassroots hospitals on symptom onset to first medical contact(SO-to-FMC)time and door to needle(D-to-N)time in patients with acute ST-segment elevation myocardial infarction(STEMI).Methods A total of 124 patients with acute STEMI were divided into control group and research group according to different treatment methods,with 62 cases in each group.Patients in the control group were treated with conventional salvage methods,and patients in the research group were treated with chest pain unit in grassroots hospitals.Both groups were compared in terms of clinical indicators[SO-to-FMC time,first medical contact to dual antiplatelet(FMC-to-dual antiplatelet)time,D-to-N time],hope score before and after treatment,prognostic indicators[left ventricular ejection fraction(LVEF),left ventricular enddiastolic diameter(LVEDD),pro-brain natriuretic peptide(pro-BNP),incidence of heart failure,length of hospital stay].Results The SO-to-FMC time,FMC-to-dual antiplatelet time and D-to-N time of the research group were(119.25±10.16),(16.28±7.23)and(19.38±4.25)min,which were shorter than those of(178.55±16.34),(26.07±8.15)and(28.37±5.11)min in the control group,and the differences were statistically significant(P<0.05).Before treatment,there were no statistically significant differences between the two groups in scores of attitudes toward reality and the future,attitudes toward taking positive action,maintaining close relationships with others and total scores(P>0.05).After treatment,the attitudes toward reality and the future,attitudes toward taking positive action,maintaining close relationships with others scores and total scores in the two groups were higher than those before treatment in this group;the above scores in the research group were (13.79±1.76), (13.85±1.98), (13.75±2.11) and (41.39±3.75) points, which were higher than those of (11.18±1.45), (11.53±1.58), (11.27±1.76) and (33.98±2.48) points in the control group;the differences were statistically s

关 键 词：急性ST段抬高型心肌梗死 基层胸痛救治单元 希望水平 

分 类 号：R542.22[医药卫生—心血管疾病]