基于医联体模式的胸痛中心救治体系对急性ST段抬高型心肌梗死患者效果探析

Effect of chest pain center treatment system based on medical union model on patients with acute ST segment elevation myocardial infarction

目的分析基于医联体模式的胸痛中心救治体系对急性ST段抬高型心肌梗死(STEMI)患者的治疗效果。方法选取2018年10月—2021年9月我院收治的110例STEMI患者,随机分为观察组(基于医联体模式的胸痛中心救治体系干预,n=55)、对照组(常规模式救治干预,n=55)。对2组患者的救治关键时间、治疗前后心肌损伤指标、不良事件发生率、治疗满意度等进行统计比较。结果观察组患者的发病至医疗接触时间(SO-to-FMC)、转诊医院入门到出门(DI-to-DO)、发病至首次球囊扩张(SO-to-B)、入门到球囊扩张时间(D-to-B)、住院时间及治疗费用均低于对照组(P<0.05)。治疗后观察组心肌肌钙蛋白T(cTnT)、N末端B型脑钠肽前体(NT-proBNP)、肌酸激酶同工酶(CK-MB)水平均低于对照组(P<0.05)。观察组治疗干预的总满意度高于对照组(P<0.05)。观察组心血管不良事件发生率为7.27%(4/55),低于对照组的21.82%(12/55)(P<0.05)。结论基于医联体模式的胸痛中心救治体系对STEMI患者效果良好,能够缩短救治转运时间,改善患者的心肌损伤,降低不良事件发生率,提高治疗满意度,可于临床推广。

Objective To analyze and explore the therapeutic effect of chest pain center treatment system based on medical union model on patients with acute STEMI.Methods 110 patients with STEMI treated in our hospital from October 2018 to September 2021 were selected as the intervention objects.divided into observation group(the chest pain center treatment system based on the Medical Union model,n=55)and control group(onventional mode,n=55).The key time nodes of treatment,myocardial injury indexes before and after treatment,the incidence of adverse events and treatment satisfaction between the two groups.Results The time from onset to medical contact(SO-to-FMC),referral hospital entry to go out(DI-to-DO),onset to first balloon dilatation(SO-to-B),entry to balloon dilatation(D-to-B),hospitalization time and treatment cost in the observation group(P<0.05).After treatment,the myocardial injury indexes including serum cardiac troponin T(cTnT),N-terminal B-type pro brain natriuretic peptide(NT proBNP)and creatine kinase isoenzyme(CK-MB)in the observation group were lower than those of control group(P<0.05).The total satisfaction of treatment intervention in the observation group was higher than that of the control group(P<0.05).In the observation group was 7.27%(4/55),which was lower than that in the control group 21.82%(12/55)(P<0.05).Conclusion The chest pain center treatment system based on the Medical Union model has a good effect on patients with STEMI.It can shorten the treatment and transportation time of patients,improve the myocardial injury of patients,reduce the occurrence of adverse events,contribute to the rapid recovery of patients,improve the treatment satisfaction of patients,and can be recommended clinically.