胸痛微信群在急性ST段抬高型心肌梗死患者院前救治中的效果分析

Effect analysis of chest pain wechat group in pre-hospital treatment of patients with acute ST-segment elevation myocardial infarction

目的:探讨胸痛微信群在急性ST段抬高型心肌梗死(STEMI)患者院前救治中的应用效果。方法:选取2017年10月—2021年9月广州医科大学附属第二医院急诊科收治的86例STEMI患者,根据院前救治是否应用胸痛微信群实时沟通进行分组。2017年10月—2019年9月救治的40例STEMI患者为对照组,实施传统胸痛绿色通道处理模式;2019年10月—2021年9月救治的46例STEMI患者为观察组,通过胸痛微信群实时沟通快速处理模式。对比两组患者的首份心电图完成时间、首次医疗接触至球囊扩张(FMC-to-B)时间、到达医院至球囊扩张(D-to-B)时间。结果:观察组的FMC-to-B时间及D-to-B时间均短于对照组,差异有统计学意义(P<0.05);两组患者的首份心电图时间比较,差异无统计学意义(P>0.05)。结论:120出车院前救治STEMI患者通过胸痛微信群远程实时沟通,可明显缩短院前救治STEMI患者FMC-to-B和D-to-B时间,为抢救心肌赢得时间。

Objective To investigate the application effect of chest pain wechat group in the pre-hospital treatment of patients with ST-segment elevation myocardial infarction(STEMI).Methods A total of 86 STEMI patients admitted by 120 vehicles from the emergency Department of The Second Affiliated Hospital,Guangzhou Medical University from October 2017 to September 2019 were selected as the research objects.They were divided into two groups according to whether the real-time communication with wechat group for chest pain was applied in the pre-hospital treatment.46 STEMI patients treated from October 2019 to September 2021 were selected as the observation group.Namely,through the real-time communication of chest pain wechat group,fast processing mode;A total of 40 STEMI patients treated from October 2017 to September 2019 were enrolled as the control group,and the green channel treatment mode for chest pain was implemented.The first ECG completion time,first medicalcontact to balloon(FMC-to-B)and door to balloon(D-to-B)were compared between the two groups.Results The FMC-to-B time of the observation group was 142±26.6 min and the D-to-B time was 61±25.3 min,which were significantly shorter than those of the control group(P<0.05),and the difference was statistically significant.There was no statistical difference in the time of the first ECG between the two groups.Conclusions 120 pre-hospital treatment of STEMI patients through remote real-time communication with chest pain wechat group can significantly shorten the FMC-to-B and D-to-B time of pre-hospital treatment of STEMI patients,and gain time for myocardial rescue.