急性心肌梗死120院前急救与院内治疗无缝对接与患者预后价值的内在联系

The internal correlation between the patients’prognostic value and the seamless connection in 120 pre-hospital and in-hospital in acute coronary syndromes

目的急性冠脉综合征(acute coronary syndromes,ACS)的救治注重最短时间内获得经皮冠状动脉介入手术(percutaneous coronary intervention,PCI)介入,目前120院前急救与院内治疗无缝对接认为是可以第一时间判断病情,同时缩短救治时间的重要措施,本项研究拟观察120院前急救与院内治疗无缝对接的救治对ACS的影响以及内在线性关系。方法选取2017-10至2018-10期间救治于苏州大学第三附属医院常州市第一人民医院急诊科ACS且接受PCI的患者161名。根据其入院方式的不同,分为120转运组(n=44)和自行前往组(n=117)。记录两组患者的基本资料、发病到急诊时间、门—球比例(D to B)、住院天数、住院费用、6个月内生存数。结果120转运可以减少患者发病到急诊时间,而且发病到急诊时间和6个月内生存数存在紧密的线性关系,差异具有统计学意义(r=0.39,P<0.05)。结论120院前急救与院内治疗无缝对接可以积极改善ACS患者的发病到急诊时间及生存率。

Objective To observer effect of the connection between 120 pre-hospital emergency and in-hospital treatment on ACS and their internal relationship.Methods From October 2017 to October 2018,161 patients who were treated with ACS in the emergency department of Changzhou First People’s Hospital of the Third Affiliated Hospital of Soochow University and received PCI were selected.According to the different admission methods,they were divided into 120 transfer group(n=44)and self-go group(n=117).The basic information of the two groups of patients,the time from onset to emergency,the goal-to-ball ratio(D to B),the length of hospitalization,the cost of hospitalization,and the number of survivals within 6 months were recorded.Results 120 transfer group was able to narrow the onset to emergency time,and the onset to emergency time had closely line relationship with survival rate in six months,and the differences were statistically significant(r=0.39,P<0.05).Conclusions The connection between 120 pre-hospital emergency and in-hospital treatment can improve the onset to emergency time and survival rate in six months.