不同来院方式对急性ST段抬高型心肌梗死门球时间的影响

The Influence of Different Hospital Admission Modes on the Goal Ball Time of Acute ST-segment Elevation Myocardial Infarction

目的:分析比较2019年1月1日至2019年6月24日中山大学孙逸仙纪念医院胸痛中心接诊的通过不同方式来院的急性ST段抬高型心肌梗死患者门球时间,进一步探索出最佳来院方式,缩短STEMI患者的门球时间(D-to-B),提高对此类患者的救治效率。方法:收集2019年1月1日至2019年6月24日中山大学孙逸仙纪念医院胸痛中心接诊的急性ST段抬高型心肌梗死患者总共28例,回顾性分析他们的一般情况、心血管高危因素、D-to-B时间。结果:两组患者年龄、性别分布及心血管高危因素的差异无统计学意义。通过区域协同救治体系转运的急性ST段抬高型心肌梗死病人的D-to-B时间低于其他转院方式的病人,差异有统计学意义(P<0.05)。结论:通过基层医院转运的急性ST段抬高型心肌梗死病人的D-to-B时间明显低于其他方式来院的病人,提示积极建设区域协同救治系统可提高急性心肌梗死病人的救治效率。

Objective:To explore the best way to hospital and reduce the D-to-B time of patients with STEMI by analyzing patients with acute ST segment elevation myocardial infarction admitted in the Chest Pain Center of Sun Yatsen Memorial Hospital from January 1 st 2019 to June 24 th 2019.Methods:A total of 28 patients with acute ST-segment elevation myocardial infarction admitted to the chest pain center of Sun Yat-sen memorial hospital from January 1 st 2019 to June 24 th 2019 were collected.Their general situation,cardiovascular risk factors and d-to-b time were retrospectively analyzed.Results:There were no statistically significant differences in age,gender distribution and cardiovascular risk factors between the two groups.The D-to-B time of patients with acute ST-elevation myocardial infarction transported by regional cooperative treatment system was lower than that of patients with other hospital transfer methods,and the difference was statistically significant(P<0.05).Conclusion:The d-to-b time of patients with acute ST-elevation myocardial infarction transferred by primary hospitals was significantly lower than that of patients with other ways of hospitalization,suggesting that the active construction of regional cooperative treatment system can improve the treatment efficiency of patients with acute myocardial infarction.