建立社区胸痛单元对高危急性冠脉综合征诊疗的效果影响

Influence of establishing community chest pain unit on the effect of diagnosis and treatment of high risk ACS

目的:探究建立社区胸痛单元对高危急性冠脉综合征(ACS)诊断的效果。方法:2017年6月-2018年12月在未成立胸痛单元前,收治高危ACS患者102例,作为对照组;2019年1月-2020年5月在成立胸痛单元后,收治高危ACS患者97例,作为研究组。比较两组诊疗效果。结果:研究组入门-出门时间及完成肌钙蛋白检查时间均低于对照组,差异有统计学意义(P<0.05);两组住院时间及住院病死率比较,差异无统计学意义(P>0.05)。结论:在诊疗高危ACS患者中,社区胸痛单元的建立,能有效缩短患者急诊停留时间及完成肌钙蛋白检查时间,而且能缩短住院时间,降低住院病死率。

Objective:To explore the influence of establishing community chest pain unit on the effect of diagnosis and treatment of high risk ACS.Methods:From June 2017 to December 2018,102 high-risk ACS patients were selected as control group before the establishment of chest pain unit.From January 2018 to May 2020,after the establishment of chest pain unit,97 patients with high-risk ACS were selected as the study group.We compared the results of diagnosis and treatment between the two groups.Results:In the study group,the entry-exit time and the completion time of troponin examination were lower than those in the control group,the difference was statistically significant(P<0.05).There was no significant difference in hospitalization time and mortality between the two groups(P>0.05).Conclusion:In the diagnosis and treatment of high-risk ACS patients,the establishment of community chest pain unit can effectively shorten the emergency stay time and the completion of troponin test time,but also can shorten the hospitalization time and reduce the hospital mortality.