成立急诊胸痛中心对急性ST段抬高型心梗患者救治的影响

The Effect of Setting up Emergency Chest Pain Center on the Treatment of Patients with Acute ST-segment Elevation Myocardial Infarction

目的考察急诊胸痛中心成立前后对急性ST段抬高型心肌梗死患者救治的疗效差异。方法按照时间段设立对照组、观察组,对该院未成立胸痛中心之前1年(2016年3月—2017年3月)的患者126例列为对照组,成立胸痛中心之后1年(2017年4月—2018年4月)的患者147例列为观察组。以两组患者的一般情况、首份心电图完成时间、经皮冠状动脉介入治疗支架置入及成功率、入门球囊扩张时间、平均住院时间、院内死亡率、人均住院费用等为观察指标进行比较,并进行统计学处理,观察胸痛中心对上述指标的影响。结果结果显示,患者首次医疗接触第一份心电图完成时间[对照组(6.11±2.53)min,观察组(3.47±1.39)min]、入门球囊扩张时间[对照组(168.64±86.95)min,观察组(96.02±31.08)min]、平均住院时间[对照组(11.3±4.1)d,观察组(8.2±3.7)d]、人均住院费用[对照组(32 187±7 962)元,观察组(28 257±6 891)元]等项目比较,观察组显著优于对照组,差异有统计学意义(t=8.766、9.254、8.692、11.547,P=0.002、0.006、0.003、0.002 <0.05)。结论胸痛中心的建立有助于提高心肌梗死患者救治质量。

Objective To investigate the effect of emergency chest pain center on the treatment of patients with acute ST-segment elevation myocardial infarction.Methods The control group and the observation group were established according to the time period.For the year before the establishment of the chest pain center in our hospital (from March 2016 to March 2017),126 patients were listed as the control group,and one year( from April2017 to April 2018 ) after the establishment of the chest pain center 147 patientswere included in the observation group.The general situation of the two groups of patients,the first ECG completion time,percutaneous coronary intervention,stent placement and success rate,entry balloon dilation time,average hospital stay,in-hospital mortality,per capita hospitalization costs,etc.were compared.And statistical processing,to observe the impact of chest pain center on the above indicators.Results The results showed that the patient's first medical contact with the first ECG completion time [control group (6.11±2.53)min,observation group (3.47±1.39) min],entry balloon expansion time [control group (168.64±86.95)min,observation Group (96.02±31.08)min],mean hospital stay [control group (11.3±4.1)d,observation group (8.2±3.7)d],per capita hospitalization cost [control group (32 187±7 962) yuan,observation group(28 257±6 891)yuan],the observation group was significantly better than the control group,the difference was statistically significant (t=8.766,9.254,8.692,11.547,P=0.002,0.006,0.003,0.002 <0.05).Conclusion The establishment of chest pain center can improve the quality of treatment for patients with myocardial infarction.