微信平台在基层胸痛中心院外急救中的应用

The application of WeChat platform in pre-hospital emergency care at primary chest pain center

目的探讨微信平台在基层医院胸痛中心院外急救中的应用效果。方法以应城市人民医院胸痛中心创建前后2016年1月-2017年12月经院外转运的急性ST段抬高型心肌梗死(ST-segment elevation myocardialinfarction,STEMI)、主动脉夹层(aortic dissection,AD)病例为研究对象,将应城市急救中心通过胸痛微信平台远程会诊后转院的75例患者设为微信组,未通过微信平台远程会诊转院的95例患者设为对照组,观察2组从首次接触患者到送达接受医院急诊经皮冠状动脉介入导管室或AD病房所需平均转运时间。结果微信组转运时间平均(90±8.35)min,对照组平均(121±7.52)min,两组比较差异有统计学意义(t=1.028,P<0.05)。结论基层院外急救系统通过微信平台远程会诊后,接受医院相关科室提前启动,绕过急诊科,将患者直接送达相关科室,优化了转诊环节,绿色通道无缝转诊,可明显缩短STEMI患者FMC2D和D2D时间,提高FMC2D达标率;AD患者明显缩短了术前准备时间。

Objective To investigate the application effect of the WeChat platform in pre-hospital care at the chest pain center of primary hospitals.Methods The acute ST-segment elevation myocardial infarction (STEMI)and aortic dissection (AD)cases transfused before and after the establishment of the chest pain center of Yingeheng People's Hospital were studied.Statistics of 75 patients who were transferred to the hospital via the chest pain WeChat platform via the Chest WeChat WeChat platform were set to the WeChat group,and 95 patients who had not been transferred to the hospital through the WeChat transfer platform were set as the control group.Observe the average transit time required for the two groups of emergency centers from the first contact with the patient to delivery to the hospital for emergency percutaneous coronary intervention in the catheterization room or AD ward.Results The WeChat group transit time averaged 90 (±8.35)minutes,and the control group averaged (121±7.52)minutes.The average referral time between the two groups was statistically significant (t =1.028,P <0.05).Conclusion After the primary hospital pre-hospital emergency system through the WeChat platform for remote consultation,the relevant departments of the hospital were activated in advance,bypassing the emergency department,and sending patients directly to the relevant departments,optimizing the referral link,seamless referral to the green channel,and significantly shortening the STEMI Patients FMC2D and D2D time,improve FMC2D compliance rate;AD patients significantly shortened preoperative preparation time.