胸痛中心建设前后急性ST段抬高型心肌梗死院前急救配合介入治疗的疗效

Clinical Effect of Pre-hospital First Aid Combined with Interventional Therapy for Acute ST-segment Elevation Myocardial Infarction before and after Construction of Chest Pain Center

目的:分析胸痛中心建设前后急性ST段抬高型心肌梗死院前急救配合介入治疗的疗效。方法:选取某院于2016年7月1日~2017年7月1日收治的349例患者作为对照组,将2017年7月1日~2018年7年1月收治的526例患者作为观察组,比较两组患者治疗后FMC时间、D-to-B以及首份心电图确诊时间。结果:两组患者在治疗后均取得一定效果,但观察组患者的效果(时效性及预后)明显优于对照组,差异具有统计学意义(P<0.05)。结论:胸痛中心的有效建设能够缩短急性ST段抬高型心肌梗死患者的D-to-B时间,降低其相关的住院费用,改善其预后,有较高的应用价值,值得有效推广。

Objective: To analyze the clinical effect of pre-hospital first aid combined with interventional therapy for acute ST-segment elevation myocardial infarction before and after construction of chest pain center. Methods: 349 cases of patients treated in a hospital from 1 st, July, 2016 to 1 st, July 2017 were selected as the control group, and 526 cases of patients from 1 st, July, 2016 to 1 st, July 2017 were selected as the observation group. Then, the FMC time, D-to-B time and the first ECG diagnosis time after the treatment of two groups of patients were compared. Results: Both groups achieved certain effects after treatment, but the effect(timeliness and prognosis) of the observation group was significantly better than that of the control group, and the difference was statistically significant(P<0.05). Conclusion: The effective construction of chest pain center can shorten the D-to-B time of patients with acute ST-segment elevation myocardial infarction, reduce their related hospitalization costs and improve their prognosis. It has high application value, thus it is worth promoting effectively.