中山地区胸痛3D急救模式的效果评价

Evaluation of 3D Emergency Mode of Zhongshan Chest Pain Center

目的:总结中山地区胸痛3D急救模式运行后胸痛患者的救治效果。方法:以2017年10月-2018年4月在胸痛中心收治的胸痛患者为研究组,以胸痛中心国际标准为参照,比较远程传输比例、首次医疗接触到首份心电图(ECG)时间、首份ECG完成至首份ECG确诊时间(STEMI患者)、入门至球囊扩张时间、导管室激活时间、肌钙蛋白获得时间。结果:与胸痛中心国际标准相比,STEMI患者首份ECG完成至首份ECG确诊时间(8.88±14.10)min虽短,但无明显差异(P>0.05);远程传输比例(95.60±4.07)%、首次医疗接触到首份ECG时间(6.34±28.03)min、D to B时间(74.06±35.81)min、导管室激活时间(13.70±13.45)min、肌钙蛋白获得时间(15.61±2.35)min均明显缩短(P<0.05)。结论:中山地区胸痛3D急救模式的运行能快速、高效地解决胸痛患者容易延误的难题,特别为STEMI患者争取时间和提高救治效率。

Objective： To summarize the effect of 3D emergency mode of Zhongshan chest pain center. Methods ： The patients with chest pain from Oet 2017 to Apr 2018 in the centre of the chest pain were classified as the research group, the remote transmission ratio, access to the first time of electrocardiogram （ECG） tor the first time in patients with acute chest pain and first ECG diagnosis to the first time （STEMI eases ） , introduction to balloon expansion time, international activation time, and troponin gain time were compared with international standards of chest pain center. Results ： Compared with international standards of chest pain center, the first time of ECG completed and diagnosis in patients with STEMI was （8.88±4.10） minutes , and no significantly shorter, while the remote transmission ratio （95.60± 4.07 ） %, the first time of ECG of medical access （ 6.34±28.03 ） minutes, the time of D to B （ 74.06±35.81 ） minutes, international activation time （13.70±13.45） minutes, troponin gain time （15.61±2.35） minutes were significantly less, all P〈0.05. Conclusions ： chest pain 3 d emergency mode of operation ean It is quickly and effectively to solve the prob- lem of patients with chest pain easily delay, especially for patients with STEMI using the 3D emergency mode of Zhong- shah chest pain center.