%0 Journal Article
%T 胸痛中心网络医院建设对急性ST段抬高型心梗患者救治效率的影响
Influence of Treatment Network Construction in Chest Pain Center on the Rescue Quality for Patients with Acute ST-Segment Elevation Myocardial Infarction
%A 潘港
%A 李诚
%A 刘明鑫
%A 龙胜春
%J Asian Case Reports in Emergency Medicine
%P 7-12
%@ 2328-0395
%D 2022
%I Hans Publishing
%R 10.12677/ACREM.2022.102002
%X 目的：研究胸痛中心网络医院建设对急性ST段抬高型心梗患者救治效率的影响。方法：选取我院2018年4月~2020年4月收治的236例急性ST段抬高型心梗患者作为研究对象，将胸痛中心网络医院转诊收治的患者列入实验组(n = 112)，将自行入院收治的患者列入常规组(n = 124)。对比两组患者平均入门到导丝通过罪犯血管所需时间(D2W)、平均总缺血时间、平均住院时间、术中再灌注反应的出现比例、术后2 h内抬高的ST段回落>50%的比例；并对患者展开一年的随访，对比两组患者一年再住院率和主要心血管事件发生率(MACE)。结果：与常规组相比，实验组患者平均D2W时间、平均总缺血时间以及平均住院时间显著更短(P < 0.05)；与常规组相比，实验组术中出现再灌注反应和术后2 h内抬高的ST段回落> 50%的比率显著更高(P < 0.05)；常规组和实验组一年内再住院人数差异不具有统计学意义(P > 0.05)；与常规组主要心血管事件发生率9.67% (12/124)相比，实验组0.89% (1/112)显著更低(P < 0.05)。结论：胸痛中心网络医院建设的创建能够有效提高对急性ST段抬高型心梗患者的救治效率。
Objective: To investigate influence of treatment network construction in chest pain center on the rescue quality for patients with acute ST-segment elevation myocardial in-farction. Methods: A total of 236 patients with acute ST-segment elevation myocardial infarction in our hospital from April 2018 to April 2020 were enrolled, including 112 referral patients (experi-mental group) and 124 outpatients (routine group). Various indexes were compared between the two groups, including average door-to-wire time (D2W), mean ischemia time, average length of hos-pital stay, incidence rate of reperfusion reaction, and proportion of ST segment elevation resolu-tion > 50% within 2 hours after surgery. All patients received one-year follow-up, and the rehospi-talization rate and the incidence of major adverse cardiovascular events (MACE) were recorded in both groups. Results: Compared with routine group, average D2W time, mean ischemia time and average hospital stay length were significantly shorter in experimental group (P < 0.05). The rate of reperfusion reaction during operation and ST segment elevation resolution > 50% within 2 hours after surgery were significantly lower in routine group than in study group (P < 0.05). The rehospi-talization rate displayed no significant difference between the two groups (P > 0.05). The incidence rate of MACE was 9.67% (12/124) in routine group, which was significantly higher than 0.89% (1/112) in experimental group (P < 0.05). Conclusion: Treatment network construction in chest pain center can effectively improve the efficacy rate of patients with acute ST-segment elevation myocardial infarction.
%K 胸痛中心网络医院建设，急性ST段抬高型心梗，救治效率，主要心血管事件
Treatment Network Construction in Chest Pain Center
%K Acute ST-Segment Elevation Myocardial Infarction
%K Rescue Efficiency
%K Major Adverse Cardiovascular Events
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=56953