胸痛中心对急性心肌梗死急诊PCI的影响

Effect of Chest Pain Center on PCI in Acute Myocardial Infarction

目的探讨胸痛中心在急性ST段抬高型心肌梗死(STEMI)患者急诊行经皮冠脉介入治疗(PCI)术中的作用。方法以104例诊断为急性ST段抬高型心肌梗死并行急诊PCI术的患者为研究对象,其中对照组(胸痛中心成立之前)50例,研究组(成立之后)54例,回顾性分析患者的资料,从患者进入急诊室开始计时,比较两组患者急诊滞留时间、进入心内导管室和D2B(进门至球囊扩张)时间。结果本研究中104例患者均安全转运至心内导管室并接受急诊PCI术治疗,但是两组在急诊滞留时间、到达心内导管室时间、D2B时间存在明显的差异。结论胸痛中心的成立,明显缩短ST段抬高型急性心肌梗死行急诊PCI的相关时间,有助于提高抢救成功率。

Objective To investigate the effect of chest pain center in patients with acute ST segment elevation myocardial infarction （STEMI） undergoing percutaneous coronary intervention （PCI）.Method 104 cases diag- nosed as acute ST segment elevation myocardial infarction parallel emergency PCI for the study, In the control group （Before the establishment of the chest pain center））50 cases, the research group （Chest pain center was established）54 cases, Retrospective analysis of patients＇ information,From the patient into the emergency room, the two groups of patients were compared to the emergency residence time, to enter the cardiac catheterization room and D2B （door to balloon dilatation） time.Result In this study, 104 patients were safely transported to the cardiac catheterization room and received emergency PCI treatment, but the two groups had significant differences in the time of emergency residence and the time of arrival in the cardiac catheterization room, D2B time. Conclusion The establishment of chest pain center, significantly shorten the ST segment elevation acute myocardial infarction in the emergency PCI related time, help to improve the rescue success rate.