胸痛中心区域协同救治体系建设对急性ST段抬高型心肌梗死救治的影响

Effect of the Construction of Regional Collaborative Rescue System for Chest Pain Center on the Treatment of Acute ST-segment elevation Myocardial Infarction

目的:探讨胸痛中心区域协同救治体系建设对郑州地区急性ST段抬高型心肌梗死(STEMI)救治的影响。方法:选取郑州市中心医院胸痛中心2015年10月至2020年10月成立前、后收治的STEMI转诊患者,分别设为常规转诊组、区域协同转诊组,各90例。两组患者入院后均进行经皮冠状动脉介入术(PCI)治疗,比较两组患者发病后总缺血时间、从发病至首次医疗接触时间(S2FMC)、首次医疗接触到导丝通过时间(FMC2W),临床不良事件发生率的差异。结果:区域协同转诊组患者的总缺血时间、S2FMC、FMC2W均短于常规转诊组,差异具有统计学意义(P<0.05)。区域协同转诊组患者院内临床不良事件发生率低于常规转诊组,差异具有统计学意义(P<0.05)。结论:胸痛中心区域协同救治体系的建设,显著提高了STEMI转诊患者的临床救治效率,降低了院内临床不良事件发生率,有助于改善患者预后。

Objective To explore the influence of the construction of regional collaborative rescue system of chest pain center on the treatment of acute ST-segment elevation myocardial infarction(STEMI)in Zhengzhou.Methods The STEMI referral patients admitted before and after the establishment of the chest pain center of Zhengzhou Central Hospital from October 2015 to October 2020 were divided into routine referral group and regional collaborative referral group,with 90 cases in each group.Both groups were treated with percutaneous coronary intervention(PCI)after admission.The total ischemic time after onset,symptom oneset to first medical contact(S2FMC),first medical contact-to-wire(FMC2W),and the incidence of clinical adverse events were compared between the two groups.Results The total ischemic time,S2FMC,FMC2W in the regional collaborative referral group were shorter than those in the routine referral group,the differences were statistically significant(P<0.05).The incidence of clinical adverse events in the regional collaborative referral group was lower than that in the routine referral group,the difference was statistically significant(P<0.05).Conclusion The construction of regional collaborative rescue system in chest pain center significantly improves the clinical rescue efficiency of STEMI referral patients,reduces the incidence of clinical adverse events,and improves the prognosis of patients.