基层胸痛中心与网络医院联动对急性心肌梗死诊疗效率的影响

Effect of the Linkage between Grassroots Chest Pain Center and Network Hospital on the Efficacy of Diagnosis and Treatment of Acute Myocardial Infarction

目的:探讨基层胸痛中心与网络医院联动对急性心肌梗死诊疗效率的影响。方法:选取2017年6月-2019年12月外院转诊至本院的急性心肌梗死患者180例,将2017年6月-2018年12月胸痛中心与网络医院互助体系建立前基层医院转诊至本院的100例患者作为对照组,2019年1-12月胸痛中心与网络医院互助体系建立后网络医院转诊至本院的80例患者作为研究组。比较两组转诊前临床资料、转诊后临床资料、治疗前后心功能及主要心血管不良事件发生情况比较。结果:研究组首份心电图完成、完成肌钙蛋白检查、服用"心肌梗死一包药"及转诊时间均短于对照组(P<0.05);研究组急诊停留、入门球囊扩张及住院时间均短于对照组(P<0.05);研究组左心室舒张末期内径(LVEDD)与左心室收缩末期内径(LVESD)均低于对照组(P<0.05),研究组每搏输出量(SV)与左心室射血分数(LVEF)均高于对照组(P<0.05);研究组主要心血管不良事件发生率低于对照组(P<0.05)。结论:采用基层胸痛中心与网络医院联动可以做到资源整合,优化急性心肌梗死患者诊疗流程,缩短患者冠状动脉总缺血时间,争取救治黄金时间,有效改善心功能及预后,提高抢救成功率,值得在临床中推广应用。

Objective:To explore the effect of the linkage between the grassroots chest pain center and the network hospital on the diagnosis and treatment efficiency of acute myocardial infarction.Method:A total of 180 patients with acute myocardial infarction referred to our hospital from June 2017 to December 2019 were selected.100 patients transferred to our hospital from primary hospitals before the establishment of the mutual assistance system between chest pain center and network hospital from June 2017 to December 2018 were used as the control group,and 80 patients transferred to our hospital from network hospital after the establishment of the mutual assistance system between chest pain center and network hospital from January to December 2019 were used as the research group.Clinical data before and after referral,cardiac function and major cardiovascular adverse events were compared between the two groups.Result:The completion of the first electrocardiogram,troponin examination,taking "a package of drugs for myocardial infarction" and referral time of the research group were all lower than those of the control group (P<0.05).The emergency stay,entry balloon dilatation and hospitalization time in the research group were all lower than those in the control group (P<0.05).The left ventricular end-diastolic diameter (LVEDD) and left ventricular end-systolic diameter (LVESD) in the research group were lower than those in the control group (P<0.05).Stroke volume (SV) and left ventricular ejection fraction (LVEF) in the research group were higher than those in the control group (P<0.05).The incidence of major cardiovascular adverse events in the research group was lower than that in the control group (P<0.05).Conclusion:The linkage between the grassroots chest pain center and the network hospital can achieve resource integration,optimize the diagnosis and treatment process,shorten the total coronary artery ischemic time in patients,strive the treatment for prime time,effectively improve cardiac function and prognosis of patients,improve the success rate of rescue,which is worthy of further popularization and application in clinical.