一体化救治模式在急性冠状动脉综合征治疗中的应用

Application of integrative treatment model in the treatment of acute coronary syndrome

目的探讨胸痛中心一体化救治模式在急性冠状动脉综合征(acute coronary syndrome,ACS)救治中的作用。方法 ACS患者756例,2009年1月—2010年9月就诊109例(实施前组)按传统模式实施救治,2010年10月—2014年2月就诊647例(实施后组)按一体化模式进行救治,比较2组分诊时间、急诊与导管室交接时间、导管室与病区交接转运时间及患者满意度。结果实施后组分诊时间[(17.90±3.66)min]、急诊与导管室交接时间[(8.14±2.36)min]、导管室与病区交接转运时间[(8.75±2.77)min]较实施前组[(27.42±6.67)、(11.45±2.37)、(10.76±2.38)min]明显缩短,患者满意度(96.45%)较实施前组(93.58%)明显增加,差异有统计学意义(P<0.01)。结论一体化救治模式可缩短ACS患者院前急救、院内救治时间,提高患者满意度。

Objective To explore the application of integrative treatment model in Chest Pain Center in rescuing the patients with acute coronary syndrome （ACS）. Methods A total of 756 patients with ACS were divided into traditional group receiving traditional treatment from January, 2009 to September, 2010 （n= 109） and integrative group receiving integrative treatment from October, 2010 to February, 2014 （n= 647）. The triage time, transferring time from emergency department to catheterization room, transferring time from catheterization room to ward, and the degree of patient＇s satisfactory were compared between two groups. Results The triage time （（17.90 ±3.66） rain）, transferring time from emergency department to catheterization roora （（8.14 ±2.36） min）, and transferring time from catheterization room to ward （（8. 75± 2. 77） rain） were significantly shorter in integrative group than those in traditional group （（27.42±6.67）, （11.45±2.37）, （10.76±2.38） rain） （P〈0.05）. The degree of patient＇s satisfactory was higher in integrative group （96.45 %） than that in traditional group （93.58%） （p 〈 0.01 ）. Conclusion Integrative treatment model in Chest Pain Center can shorten the time of pre-hospital care and in-hospital treatment, as well as increase the degree of patient＇s satisfactory