急性冠脉综合征患者在胸痛中心的救治模式研究

Study on the Treatment Model of Patients with Acute Coronary Syndrome in Chest Pain Center

目的急性冠脉综合征患者在胸痛中心的救治模式的应用分析。方法选择该院从2016年9月—2019年9月收诊的326例急性冠脉综合征患者为研究对象,对患者的治疗中采取急诊经皮冠状动脉介入(PCI)治疗措施,分析患者的TIMI血流分级、血小板聚集率情况。结果该组患者治疗后TIMI血流分级情况0级(0.00%)、1级(0.00%)明显优于治疗前的73.31%、26.69%,差异有统计学意义(χ^(2)=28.535、112.595,P<0.001);血小板凝聚率比较,手术前(58.20±1.24)%分别与手术后0.5 h(40.50±1.35)%、手术后2 h(33.43±1.24)%比较,差异有统计学意义(t=48.280、70.625,P<0.001);手术后0.5 h(40.50±1.35)%与手术后2 h(33.43±1.24)%比较,差异有统计学意义(t=19.285,P<0.001)。结论针对急性冠脉综合征患者采取胸痛中心的救治模式对于患者的康复有重要意义,该治疗模式对患者TIMI血流分级、血小板聚集率的改善均有积极作用,可有效促进患者病情恢复。可见胸痛中心的治疗模式对于急性冠脉综合征患者的康复进程具有一定促进效果,适合在临床工作中推广。

Objective To analyze the application of the treatment model of patients with acute coronary syndrome in the chest pain center.Methods 326 patients with acute coronary syndrome admitted in the hospital from September 2016 to September 2019 were selected as the research object,and emergency percutaneous coronary intervention(PCI)treatment measures were adopted in the treatment of the patients,and the patients were analyzed TIMI blood flow classification and platelet aggregation rate.Results TIMI blood flow grade of patients in this group after treatment:Grade 0(0.00%)and Grade 1(0.00%)were significantly better than those before treatment 73.31%and 26.69%,and the difference was statistically significant(χ^(2)=28.535,112.595,P<0.001);The platelet aggregation rate before operation(58.20±1.24)%compared with 0.5 h(40.50±1.35)%and 2 h(33.43±1.24)%after treatment respectively,the difference was statistically significant(t=48.280,70.625,P<0.001);The difference between 0.5 h(40.50±1.35)%and 2 h(33.43±1.24)%after operation was statistically significant(t=19.285,P<0.001).Conclusion For patients with acute coronary syndrome,the rescue mode of chest pain center is of great significance to the patient's rehabilitation.This treatment mode has a positive effect on the TIMI blood flow classification and the improvement of platelet aggregation rate,and can effectively promote the patient's recovery.It can be seen that the treatment model of the chest pain center has a certain effect on the rehabilitation process of patients with acute coronary syndromes,and is suitable for promotion in clinical work.