摘要
目的探讨胸痛协同救治体系建设,优化胸痛救治流程对急性ST段抬高型心肌梗死(STEMI)救治效果的影响。方法选取右江民族医学院附属医院胸痛中心2020年1月至2023年12月救治的668例首诊STEMI患者,按转诊方式和来院途径分别设为常规转诊组203例、胸痛协同救治转诊组465例。两组患者均进行急诊经皮冠状动脉介入治疗(PCI),比较两组患者胸痛救治流程的时间节点、溶栓情况及溶栓再通情况、PCI术中并发症、出院后3个月内不良事件及再住院情况。结果胸痛协同救治转诊组的各项节点时间均短于常规转诊组,差异有统计学意义(P<0.05)。胸痛协同救治转诊组的溶栓比例、溶栓再通率较常规转诊组高,差异有统计学意义(P<0.001)。出院3个月后随访,胸痛协同救治转诊组的不良事件发生率及再住院率低于常规转诊组,差异有统计学意义(P<0.05)。结论胸痛协同救治体系建设明显缩短STEMI患者救治时间,降低PCI术中并发症,有助于改善预后。
Objective To explore the impact of the construction of chest pain collaborative treatment system and optimization of the chest pain treatment process on the treatment effect of acute ST-segment elevation myocardial infarction(STEMI).Methods 668 first-diagnosis STEMI patients who were treated in the Chest Pain Center of Affiliated Hospital of Youjiang Medical University for Nationalities from January 2020 to December 2023 were selected.According to referral method and route to the hospital,patients were divided into routine referral group(203 cases)and chest pain collaborative treatment referral group(465 cases).Both groups underwent emergency percutaneous coronary intervention(PCI).And then,the time nodes,thrombolysis and recanalization status,complications during PCI,adverse events within 3 months after discharge,and readmission status of chest pain treatment between two groups were compared.Results The time of each node in the chest pain collaborative treatment referral group was shorter than that in the routine referral group,and difference was statistically significant(P<0.05).Thrombolysis rate and thrombolysis recanalization rate in the chest pain collaborative treatment referral group were higher than those in the routine referral group,and the difference was statistically significant(P<0.001).After a 3-month follow-up after discharge,the incidence rate of adverse events and readmission rate in the chest pain collaborative treatment referral group were lower than those in the routine referral group,and difference was statistically significant(P<0.05).Conclusion The construction of chest pain collaborative treatment system can significantly shorten the treatment time of STEMI patients,reduce intraoperative complications of PCI,and help improve the prognosis.
作者
杨桂强
岑团
刘燕
谭玉燕
冉玉柳
黄照河
YANG Guiqiang;CEN Tuan;LIU Yan;TAN Yuyan;RAN Yuliu;HUANG Zhaohe(Graduate School,Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China;Department of Cardiovascular Medicine,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China;Department of Cardiovascular Medicine,Yulin Red Cross Hospital,Yulin 537000,Guangxi,China)
出处
《右江医学》
2024年第11期967-971,共5页
Chinese Youjiang Medical Journal
基金
国家自然科学基金(82260883)
广西医疗卫生适宜技术开发与推广应用项目(S2020116)。
关键词
急性ST段抬高型心肌梗死
胸痛协同救治体系
胸痛救治流程
acute ST-segment elevation myocardial infarction(STEMI)
chest pain collaborative treatment system
chest pain treatment process