期刊文献+

胸痛中心模式与常规诊疗流程对STEMI急诊PCI救治效果的影响 被引量:4

下载PDF
导出
摘要 目的:分析胸痛中心模式与常规诊疗流程对ST段抬高型心肌梗死(STEMI)急诊经皮冠状动脉介入治疗(PCI)救治效果的影响。方法:2017年6月-2018年6月收治STEMI患者67例,采用奇偶法分为研究组33例和对照组34例。对照组接受常规诊疗流程PCI救治,研究组接受胸痛中心模式PCI救治。对比两组救治效果。结果:研究组首次医疗接触至球囊扩张(FMC2B)时间、患者进入医院大门到球囊扩张(D2B)时间比对照组短,达标比例均比对照组高,住院时间比对照组短,住院费用比对照组低,住院期间不良事件发生率比对照组低,差异均有统计学意义(P<0.05)。结论:与常规诊疗流程相对比,胸痛中心模式的应用对于STEMI急诊PCI救治效果具有积极作用,价值显著。
作者 赫为 朱琼瑶
出处 《中国社区医师》 2019年第17期25-25,27,共2页 Chinese Community Doctors
  • 相关文献

参考文献6

二级参考文献56

  • 1Li J, Li X, Wang Q,et al.ST-segment elevation myocardial infarction in China from 2001 to 2011(the China PEACE-Retrospective Acute Myocardial Infarction Study) : a retrospective analys is of hospital data [J].Lancet,2015,385(14):441-451.
  • 2De Luca G, Suryapranata H,Ottervanger JP, et al.Time delay to treat- ment and mortality in primary angioplasty for acute myocardial infarction: every minute of delay counts [J].Circulation,2004,109(10): 1223-1225.
  • 3Van de Loo A, Saurbier B, Kalbhenn J, et al. Primary percutaneous coronary intervention in acute myocardial infarction: direct transpor- tation to catheterization laboratory by emergency teams reduces door-to-balloon time[j].Clin Cardiol,2006,29(3): 112-116.
  • 4Nallamothu BK,Bates ER,Herrin J,et al.Times to treatment in transfer patients undergoing pnmary percutaneous coronary intervention in the United States: National Registry of Myocardial Infarction(NRMI)-3/4 analysis[J].Circulation,2005,111(6):761-767.
  • 5Glickman SW,Shofer FS,Wu MC,et al. Development and validation of a prioritization rule for obtaining an immediate 12-1ead electrocar- diogram in the emergency department to identify ST-elevation myocardial infarction[J].Am Heart J,2012,163(3):372-382.
  • 6Verbeek PR, Ryan D,Turner Let al.Serial prehospital 12-lead electrocardiograms increase identification of ST-segment elevation myocardial infaretion[J].Prehoso Emer~ Care.2012.16( 1):109-114.
  • 7Cheskes S, Turner L,Foggett R,et a/.Paramedic contact to balloon in less than 90 minutes:a successful strategy for ST-segment elevation myocardial infarction bypass to primary percutaneous coronary intervention in a Canadian emergency medical[J].Prehosp Emerg Care, 2011,15 (4) : 490-498.
  • 8American College of Emergency Physicians,Society for Cardiovascular Angiography and Interventions,O' Gara PT,et o/.2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction.a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines[J].JAmCollCardiol,2013,61(4):e78一e140.
  • 9郭金成,马长生,许敏,王国忠,张学坤,张海滨,高国旺,张正海,张立新,刘长虹.急性ST段抬高心肌梗死患者急诊介入治疗门-囊时间及其影响因素[J].中国介入心脏病学杂志,2010,18(1):21-24. 被引量:18
  • 10无.急性ST段抬高型心肌梗死诊断和治疗指南[J].中华心血管病杂志,2010,38(8):675-690. 被引量:1969

共引文献158

同被引文献25

引证文献4

二级引证文献12

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部