急诊PCI绿色通道对急性ST段抬高型心肌梗死患者抢救效果的影响

Effect of emergency PCI green channel on the rescue effect of patients with acute ST-segment elevation myocardial infarction

目的探讨急诊经皮冠状动脉介入治疗(PCI)绿色通道对急性ST段抬高型心肌梗死(STEMI)患者抢救效果的影响。方法选取我院急诊科于2016年10月～2018年6月通过绿色通道进行PCI的126例STEMI患者作为观察组,2014年10月～2016年9月未建立绿色通道前进行PCI的107例STEMI患者作为对照组。比较两组患者的抢救时间、门球(D-to-B)时间、D-to-B时间达标率、住院时间及死亡率。结果观察组患者的分诊评估时间、静脉釆血时间及静脉给药时间均短于对照组,差异有统计学意义(P<0.05);观察组患者的心电图监护时间及抢救总时间均显著短于对照组,差异有统计学意义(P<0.01)。观察组患者的D-to-B时间短于对照组,差异有统计学意义(P<0.01);观察组患者的D-to-B时间达标率显著高于对照组,差异有统计学意义(P<0.01)。观察组患者的住院时间短于对照组,差异有统计学意义(P<0.05);观察组患者的死亡率显著低于对照组,差异有统计学意义(P<0.01)。结论建立急诊PCI绿色通道可明显缩短STEMI患者的抢救时间,降低死亡率,全面提高抢救质量,具有较好的临床推广价值。

Objective To explore the effect of emergency percutaneous coronary intervention (PCI) green channel on the rescue effect of patients with acute ST-segment elevation myocardial infarction (STEMI). Methods A total of 126 patients with STEMI who underwent PCI through the green channel from October 2016 to June 2018 in our hospital were selected as the observation group, and 107 STEMI patients who underwent PCI before the green channel was established from October 2014 to September 2016 were selected as the control group. The rescue time, door to balloon (D-to-B) time, the compliance rate of D-to-B time, hospitalization time, and mortality were compared between the two groups. Results The time of triage evaluation, time of venous stasis and intravenous administration in the observation group were shorter than those in the control group, and the differences were statistically significant (P<0.05). The electrocardiogram monitoring time and total rescue time in the observation group were significantly shorter than those in the control group, and the differences were statistically significant (P<0.01). The D-to-B time of the observation group was shorter than that of the control group, and the difference was statistically significant (P<0.01). The compliance rate of D-to-B time in the observation group was significantly higher than that in the control group, and the difference was statistically significant (P<0.01). The hospitalization time of the observation group was shorter than that of the control group, and the difference was statistically significant (P<0.05). The mortality of the observation group was significantly lower than that of the control group, and the difference was statistically significant (P<0.01). Conclusion The establishment of emergency PCI green channel can significantly shorten the rescue time of STEMI patients, reduce the mortality, improve the overall quality of rescue, and has a good clinical promotion value.