急诊绿色通道对急性心肌梗死患者直接PCI术疗效的影响

Effect of emergency green channel on the efficacy of direct PCI in patients with acute myocardial infarction

目的观察急诊绿色通道对急性心肌梗死(Acut myocardial infarction,AMI)患者直接经皮冠状动脉介入术(Percutaneous coronary intervention,PCI)疗效的影响。方法选择于商丘市第一人民医院急诊科2016年10月-2017年3月期间治疗的AMI患者60例作为研究对象,运用随机数表法将其分为观察组(30例)与对照组(30例)。给予对照组临床常规的急诊-病房-导管室治疗模式,观察组则给予急诊-导管室治疗模式。观察两组门-球时间(Door to balloon,D2B)与心脏不良事件发生情况。结果观察组D2B时间明显少于对照组,差异有统计学意义(P<0.05);观察组心脏不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论急诊绿色通道有助于保障AMI患者入院后快速行PCI术治疗,缩短D2B时间,提升AMI救治效果,改善预后,临床普及价值高。

Objective To observe the effect of emergency green channel on the efficacy of Percutaneous coronary intervention( PCI) in patients with acute myocardial infarction( AMI). Methods Sixty patients with AMI who were treated in the emergency department of Shangqiu First People's Hospital from October 2010 to March 2017 were selected as the subjects. The random number table was divided into observation group( 30 cases) and control group( 30 cases). The control group was given a routine emergency-ward-catheter treatment model,the observation group was given emergency-catheter treatment model. Observe the two groups of door-ball time( Door to balloon,D2B) and the occurrence of adverse cardiac events. Results The D2B time in the observation group was significantly lower than that in the control group( P<0. 05). The incidence of adverse cardiac events in the observation group was lower than that in the control group( P<0. 05). Conclusion The emergency green channel can help to ensure the treatment of AMI patients after PCI,shorten the D2B time,improve the treatment effect of AMI,improve the prognosis,the clinical popularity of high value.