急性冠状动脉综合征病人延误诊治相关因素分析

Analysis and Strategy of Related Causes for Delayed Treatment in Acute Coronary Syndrome

目的:了解急性冠状动脉综合征(ACS)患者延误诊治相关因素,并加以分析,为提高治疗效果提供依据.方法:收集2001～2004年本科住院130例ACS患者,分为不稳定性心绞痛(UAP)和急性心肌梗死(AMI)两组,回顾性分析从发病到就诊(T1)、就诊到再灌注治疗(T2)的时间.调查患者院外延迟和院内延迟的相关因素.结果:两组患者T1和T2都有明显的延误,其中主要是从发病到就诊的时间:UAP组T1为(11.6±4.2)d,AMI组T1(3.9±1.2)d,UAP组较AMI组延误的时间更为显著(P<0.05),以症状不典型,对ACS认识不足为主.结论:ACS患者存在延误诊治现象,其中主要是院外因素,需要加强健康教育,开辟ACS患者绿色生命通道是重要对策.

Objective： To investigate the causes for delayed treatment in acute coronary syndrom （ACS）and strategies. Methods：The periods from onset to the first visit, the first visit to treatment was analyzed. The admission beyond 12h from onset was defined as out-hospital delay. The treatment beyond 30 min from admission was defined as in-hospital delay. Results：The two periods were significantly prolonged in both groups. The out-hospital delay was longer than the in-hospital delay. Conclusion ：The treatment for ACS was delayed. Health education and establishment of green channel are important strategies.