胸痛中心管理模式对急性心肌梗死患者救治的影响

The influence of chest pain center management model on the treatment of acute myocardial infarction patients

目的:分析胸痛中心管理模式对急性心肌梗死(AMI)患者救治的影响。方法:回顾性分析250例急诊预检接诊的AMI患者,将建立胸痛中心以前入院就诊的120例患者设为对照组,建立胸痛中心后就诊的130例患者设为观察组。观察组实施胸痛中心管理流程,对照组实施常规的急诊救治流程。比较两组患者急诊停留时间、患者转出抢救室至介入血管球囊开通时间。结果:观察组患者急诊停留时间明显低于对照组(t=15.19,P<0.05);观察组患者转出抢救室至介入血管球囊开通时间明显低于对照组(t=26.69,P<0.05);观察组患者手术成功率明显高于对照组,死亡率和住院时间明显低于对照组,差异具有统计学意义(P<0.05)。结论:胸痛中心管理模式可显著缩短AMI患者的抢救时间和治疗时间,有助于优化急性心梗患者急诊救治流程,同时可提高手术成功率,降低死亡率和住院时间。

Objective:To analyze the influence of chest pain center management model on the treatment of acute myocardial infarction patients.Methods:A retrospective analysis was made of 250 AMI patients who received emergency pre-examination.120 patients who were hospitalized before the establishment of chest pain center were set as control group,and 130 patients treated after the establishment of chest pain center were set as observation group.The management process of chest pain center was implemented in the observation group,while the routine emergency treatment process was implemented in the control group.The emergency stay time and the time from the emergency room to the balloon opening were compared between the two groups.Results:The emergency stay time of patients in the observation group was significantly lower than that in the control group(t=15.19,P<0.05),the time from the emergency room to the balloon opening in the observation group was significantly lower than that in the control group(t=26.69,P<0.05).The success rate of operation in the observation group was significantly higher than that in the control group,and the mortality and hospitalization time in the observation group were significantly lower than those in the control group,with the differences were statistically significant(P<0.05).Conclusion:Chest pain center management model can significantly shorten the rescue time and treatment time of AMI patients,help to optimize the emergency treatment process of acute myocardial infarction patients,and improve the success rate of surgery,reduce mortality and hospitalization time.