绕行急诊对行直接经皮冠状动脉介入治疗的ST段抬高型急性心肌梗死患者的影响

Effect of Bypassing Emergency Department on Patients with ST-segment Elevation Acute Myocardial Infarction Undergoing Direct Percutaneous Coronary Intervention

目的:分析绕行急诊对行直接经皮冠状动脉介入治疗(PCI)的ST段抬高型急性心肌梗死患者的影响。方法:回顾性分析本院2019年9月-2020年9月收治的110例ST段抬高型急性心肌梗死患者的临床资料,以有无绕行急诊作为分组原则,将其分为对照组(n=51,未绕行急诊开展PCI术)和试验组(n=59,绕行急诊并直接开展PCI术),比较两组救治时间、心功能变化、心血管不良事件发生率、住院时间及费用。结果:试验组SO-to-B时间及Do-to-B时间明显短于对照组,差异有统计学意义(P<0.05),试验组SO-to-FMC时间及FMC-to-Dn时间和对照组比较,差异均无统计学意义(P>0.05)。试验组治疗后LVEDD、LVESD明显低于对照组,LVEF明显高于对照组,心血管不良事件发生率明显低于对照组,住院时间短于对照组,住院费用低于对照组,差异均有统计学意义(P<0.05)。结论:在ST段抬高型急性心肌梗死患者的临床救治中,绕行急诊直接PCI治疗不仅可以帮助患者缩短救治时间及住院时间,而且还可以进一步减少心血管不良事件的发生,改善患者心功能,缓解其经济压力。

Objective:To analyze the effect of bypassing emergency department on ST-segment elevation acute myocardial infarction patients undergoing direct percutaneous coronary intervention(PCI).Method:Clinical data of 110 patients with ST-segment elevation acute myocardial infarction admitted to our hospital from September 2019 to September 2020 were retrospectively analyzed.According to whether or not bypassed the emergency department,and divided them into the control group(n=51,not bypassed the emergency department to carry out PCI)and the experimental group(n=59,bypassed the emergency department and carried out PCI directly).Compared the treatment time,cardiac function changes,and occurrence of adverse cardiovascular events,length of stay and cost between the two groups.Result:The SO-to-B time and Do-to-B time of the experimental group were significantly shorter than those of the control group,and the differences were statistically significant(P<0.05).There were no significant differences in the SO-to-FMC time and FMC-to-Dn time of the experimental group and the control group(P>0.05).After treatment,the LVEDD,LVESD of the experimental group were significantly lower than those of the control group,LVEF was significantly higher than that of the control group,the incidence of cardiovascular adverse events was significantly lower than that of the control group,the hospital stay was shorter than the control group,and the hospitalization cost was higher than the control group,the differences were statistically significant(P<0.05).Conclusion:In the clinical treatment of patients with ST-segment elevation acute myocardial infarction,bypassing emergency direct PCI treatment can not only help patients shorten the treatment time and hospital stay,but also further reduce the occurrence of cardiovascular adverse events,improve the patients’heart function,and relieve its economic pressure.