优化急诊绿色通道对急性肺栓塞患者短期预后的影响  

Effect of optimized emergency green channel on short-term prognosis of patients with acute pulmonary embolism

作　　者：刘蕊 秦岚[1] 张燕 苏天昊[2] Liu Rui;Qin Lan;Zhang Yan;Su Tianhao(Department of Emergency,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China;Department of Intervention,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院急诊医学科,北京100050 [2]首都医科大学附属北京友谊医院介入科,北京100050

出　　处：《血管与腔内血管外科杂志》2024年第4期452-455,460,共5页Journal of Vascular and Endovascular Surgery

摘　　要：目的探讨优化急诊绿色通道对急性肺栓塞患者短期预后的影响。方法收集2019年6月至2022年10月于首都医科大学附属北京友谊医院接受检查和治疗的112例急性肺栓塞患者的临床资料,根据患者是否经优化急诊绿色通道进入急诊诊治流程将其分为优化组(n=53)和对照组(n=59)。比较两组患者进入急诊后的诊断与治疗情况、后续的治疗策略,以及进入急诊后28 d的结局。结果优化组患者进入急诊至诊断性检查的时间和进入急诊至针对性治疗的时间均明显短于对照组患者,差异均有统计学意义(P﹤0.01)。优化组患者进入急诊后28 d的生存率高于对照组患者,差异有统计学意义(P﹤0.05)。出院前心脏超声检查结果显示,优化组患者存在肺动脉高压的比例、平均肺动脉压均低于对照组患者,差异均有统计学意义(P﹤0.05)。两组患者住院期间出血、右心功能衰竭、肺部感染的发生率比较,差异均无统计学意义(P﹥0.05)。结论优化急诊绿色通道可以缩短急性肺栓塞患者的诊疗时间,明显改善患者的短期预后,具有较高的安全性,值得临床推广。Objective To investigate the effect of optimizing emergency green channel on short-term prognosis of patients with acute pulmonary embolism.Method The clinical data of 112 patients with acute pulmonary embolism who were examined and treated in Beijing Friendship Hospital,Capital Medical University from June 2019 to October 2022 were collected.According to whether the patients entered the emergency diagnosis and treatment process through the optimized emergency green channel,they were divided into optimization group(n=53)and control group(n=59).The diagnosis and treatment status after entering the emergency department,subsequent treatment strategies,and the 28-day outcome after entering the emergency department were compared between the two groups of patients.Result Compared with the control group,the time from admission to the emergency department to receiving diagnostic examination and targeted treatment were significantly shorter than those in the control group,with statistically significant differences(P<0.01).The survival rate of patients in the optimization group at 28 days after entering the emergency department was higher than that of patients in the control group,and the difference was statistically significant(P<0.05).The results of cardiac ultrasound examination before discharge showed that the proportion of patients in the optimization group with pulmonary arterial hypertension and the average pulmonary arterial pressure were lower than those in the control group,and the differences were statistically significant(P<0.05).There were no statistically significant differences in the incidence of bleeding,right heart failure,and pulmonary infection during hospitalization between the two groups of patients(P>0.05).Conclusion Optimizing the emergency green channel can shorten the diagnosis and treatment time of acute pulmonary embolism patients,significantly improve the short-term prognosis of patients,with high safety,and is worthy of clinical promotion.

关 键 词：急性肺栓塞 急诊 绿色通道 预后 

分 类 号：R543[医药卫生—心血管疾病]