急性ST段抬高心肌梗死患者多科联合无缝管理模式探讨

Multi-department seamless joint management mode for patients presenting acute ST-segment elevation myocardial infarction

目的探讨应用多科联合无缝管理模式对急性ST段抬高心肌梗死患者进行管理的效果。方法将2013年8月至2014年3月急性ST段抬高心肌梗死的50例患者作为联合组,接受多科联合无缝管理模式进行抢救、监测、治疗和护理;2013年1~7月诊断为急性ST段抬高心肌梗死的50例患者作为对照组,接受常规多科联合管理。比较两组就诊至首次球囊扩张时间、再灌注成功率、并发症发生率。结果联合组与对照组比较,就诊至首次球囊扩张时间缩短,再灌注成功率提高,差异具有统计学意义（P〈0.05,P〈0.01）,休克、猝死发生率较对照组降低,差异有统计学意义（均P〈0.05）。结论对急性ST段抬高心肌梗死患者的急救过程应用多科联合无缝管理模式可以提高救治时效、工作效率,改善患者预后。

Objective To investigate the multi-department joint management mode for patients presenting acute ST-segment elevation myocardial infarction.Methods Fifty patients diagnosed with acute ST-segment elevation infarction were chosen as the experimental group,receiving multi-department seamless joint management for emergency rescuing,monitoring,treating and care.Another 50 patients with the same disease were recruited as the control group,receiving routine joint management.The door-to-balloon time,reperfusion success rate and the incidences of complications of the both groups were observed and compared.Results Compared with the control group,the door-to-balloon time of the experimental group was significantly shortened than the control group,while the reperfusion success rate was significantly lower than the latter（P〈0.05,P〈0.01）.Moreover,the occurrence rate of serious complications such as shock and sudden death was significantly lower than the control group（P〈0.05 for both）.Conclusion Multi-department seamless joint management mode can be used to rescue patients presenting acute ST-segment elevation myocardial infarction to accelerate work efficiency of medical staff and improve patients′prognosis.