探讨急性ST段抬高型心肌梗死患者D2B时间的影响因素及对策

Investigate the influencing factors and countermeasures of D2B time in patients with acute ST segment elevation myocardial infarction

目的探讨STEMI患者D2B时间的影响因素,为临床有效降低急性ST段抬高型心肌梗死死亡率提供指导。方法按纳入标准选择42例STEMI患者,按就诊顺序分为对照组(19人)及观察组(23人)。对照组按常规方法就诊治疗,观察组从进门完成首份心电图到进行球囊扩张术,严格按照D2B时间≤90分钟的标准执行。结果观察组患者D2B完成各环节检查时间高于对照组,观察组D2B达标率明显优于对照组。结论缩短STEMI患者D2B时间,是有效开通梗死动脉、恢复有效的心肌灌注、挽救患者生命的关键,在临床工作中应对STEMI患者D2B时间引起重视。

Objectives To explore the influence factors of D2B in patients with STEMI,reduce the chnical ST elevation acute myocardial infarction mortality provide guidance. Methods according to inclusion criteria,42 cases of STEMI patients were random- ly divided into control group（ 19 cases） and observation group（23）. The control group according to the treatment routine treatment, the observation group from the door to complete the initial ECG balloon dilatation, in strict accordance with the D2B time less than 90min standards. Results Patients with D2B to complete the link check time is higher than the control group ,the observation group the success rate of D2B is obviously superior to the control group. Conclusion STEMI patients with D2B to shorten the time,is effective the opening of the infarct artery,recovery of myocardial perfusion effectively, the key to save the lives of patients, in clinical work, STEM/patients shou/d pay attention to the D2B time.