微信群在急性心肌梗死患者无缝隙转诊及抢救治疗中的运用价值

Application of "WeChat group" in seamless transfer and emergency management of patients with acute myocardial infarction

目的探讨微信群在急性心肌梗死患者无缝隙转诊及抢救治疗中的运用价值。方法根据是否通过微信群联系,将2014年从基层医院转至我院行急诊冠脉介入治疗的急性心肌梗死患者分成微信群组(n=46)和对照组(n=40),比较两组的标准化抢救流程的完成情况及主要心血管并发症。结果心电图完成率及术前药物服用率组间差异无统计学意义,而术前手续完成率、急诊手术送达率及入院90分钟内闭塞血管开通率微信群组(78.3%、65.2%、52.2%)显著高于对照组(55.0%、40.0%、25.0%)(均P<0.05),主要心血管并发症及死亡率微信群组(34.8%、4.3%)显著低于对照组(60.0%、17.5%)(均P<0.05)。结论微信群有助于急性心肌梗死的无缝隙转诊,提高闭塞血管开通率,改善急性心肌梗死患者的预后。

Objective To explolre application of ＆quot;WeChat group＆quot; in seamless transfer and emergency management of patients with acute myocardial infarction （AMI）.Methods AMI patients transferred from primary hospitals and underwent emergent PCI during the year of 2014 were divided into WeChat group （n=46） and control group（n=40） based on whether or not WeChat was used as contact information.Accomplishment of standardization rescue process and major cardiovascular complications were compared between the two groups.Results There was no significant difference of obtaining ECG and premedication in two groups.The completion rate of pre- procedure ready,the timeliness of transferring patients to cath lab,and the ratio of reperfusion within 90 min from door to ball oon were significantly higher,major cardiovascular complications and mortality were significantly lower in WeChat group than control group （all P〈0.05）.Conclusion ＆quot;WeChat group＆quot;might improve transfer treatment,reperfusion of occlusive coronary artery and outcome of AMI patients.