胸痛绿色通道用于ST段抬高型心肌梗死患者院前急救的临床效果分析

Analysis of the clinical effect of chest pain green channel on pre-hospital emergency care for patients with ST-segmentelevation myocardial infarction

目的 分析胸痛绿色通道对ST段抬高型心肌梗死患者院前急救救治效果的影响。方法 选取2019年3月—2021年6月在北京市台湖社区卫生服务中心进行院前急救诊断为ST段抬高型心肌梗死的102例患者进行调研。按照时间节点进行分组,试验组对患者实施通过胸痛绿色通道的院前急救措施,对照组对患者实施常规院前急救。总结与探究对照组与试验组的救治效果。结果 试验组患者的平均转诊时间为(18.5±3.3)min,而对照组患者的平均转诊时间(33.5±6.2)min,试验组转诊用时较对照组缩短15 min(P<0.05)。试验组病死率(1.92%)低于对照组病死率(6.00%),但差异无统计学意义(P>0.05)。试验组治疗期间的恶性心律失常、心源性休克发生率显著低于对照组(P<0.05);出院后6个月随访期间2组患者心力衰竭、再发心肌梗死的发生率比较差异无统计学意义(P>0.05)。试验组满意度得分显著高于对照组(P<0.05)。结论 胸痛绿色通道的急救管理措施可以显著缩短患者急性心肌梗死发作时的救援时间、降低病死率以及并发症的发生率,具有较好的临床应用价值。

Objective To analyze the effect of chest pain green channel on pre hospital emergency treatment of patients with ST segment elevation myocardial infarction.Methods 102 patients diagnosed with ST-segment elevation myocardial infarction who underwent pre-hospital emergency care in our hospital fromMarch 2019 to June 2021 were selected for this study.Group by time node,the experimental group implemented pre-hospital emergency measures through the green channel for chest pain,while the control group implemented conventional pre-hospital emergency for the patients.The implementation effect of the control group and the experimental group was summarized and explored.Results The average referral time of patients in the experimental group was(18.5±3.3)minutes,while the average referral time of patients in the control group was(33.5±6.2)minutes.The referral time in the experimental group was 15 minutes shorter than that in the control group(P<0.05).The mortality rate of the experimental group(1.92%)was lower than that of the control group(6.00%),but the difference was not significant(P>0.05).The incidence of malignant arrhythmia and cardiogenic shock in the experimental group was significantly lower than that in the control group(P<0.05).There was no significant difference in the incidence of heart failure and recurrent myocardial infarction between the two groups during the 6-month follow-up after discharge(P>0.05).The score of satisfaction in the experimental group was significantly higher than that in the control group(P<0.05).Conclusion The emergency management measures of the green channel for chest pain can significantly shorten the rescue time and reduce the risk of death of patients in case of acute myocardial infarction,which is worth further study and promotion in clinical practice.