基于心电远程网络的区域协同急救模式对急性ST段抬高型心肌梗死患者转运效率及近期预后的影响  

Effect of regional collaborative emergency mode based on ECG remote network on transport efficiency and recent prognosis in patients with acute ST-segment elevation myocardial infarction

作　　者：吴美花 WU Meihua(Department of Electrocardiography,Shouning County Hospital,Ningde Fujian 355500,China)

机构地区：[1]寿宁县医院心电图科,福建宁德355500

出　　处：《实用心电学杂志》2024年第4期341-344,共4页Journal of Practical Electrocardiology

摘　　要：目的探讨基于心电远程网络的区域协同急救模式对急性ST段抬高型心肌梗死(ST-segment elevation myocardial infarction,STEMI)患者转运效率及近期预后的影响。方法回顾性分析43例应用基于心电远程网络的区域协同急救模式的STEMI患者临床资料,将其纳入协同急救组;另回顾本院同期收治的43例实施常规急救措施的STEMI患者的临床资料,将其纳入对照组。对比两组患者的转运效率以及近期预后。结果协同急救组首次医疗接触到进入手术室的时间、进入手术室到导管通畅时间和转运至急救车到进入手术室的时间均短于对照组(均P<0.05)。协同急救组血管再通比例高于对照组,且心血管事件发生率低于对照组(均P<0.05)。两组病死率差异无统计学意义(P>0.05)。结论基于心电远程网络的区域协同急救模式可提高STEMI患者转运效率,减少心血管事件的发生。Objective To explore the effect of regional collaborative emergency mode based on ECG remote network on the transport efficiency and recent prognosis in patients with acute ST-segment elevation myocardial infarction(STEMI).Methods We retrospectively analyzed clinical data of 43 patients with STEMI who had been admitted to our hospital in the regional collaborative emergency mode based on ECG remote network,and included them in the collaborative emergency group.We also reviewed clinical data of 43 patients with STEMI who had been admitted to our hospital during the same time period and implemented conventional emergency measures,and included them in the control group.The transport efficiency and recent prognosis were compared between the two groups.Results The time from the first medical contact to entering the operating room,the time from entering the operating room to catheter patency,and the time from transporting to the ambulance to entering the operating room in the collaborative emergency group were all shorter than those in the control group(all P<0.05).The proportion of vascular recanalization in the collaborative emergency group was higher than that in the control group while the incidence of cardiovascular events was lower than that in the control group(all P<0.05).There was no statistically significant difference in the mortality between the two groups(P>0.05).Conclusion The regional collaborative emergency mode based on ECG remote network could improve the transport efficiency and reduce the occurrence of cardiovascular events in STEMI patients.

关 键 词：心电远程网络 区域协同急救模式 心血管事件 转运效率 急性ST段抬高型心肌梗死 

分 类 号：R542.22[医药卫生—心血管疾病] R459.7[医药卫生—内科学]