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急性ST段抬高心肌梗死临床路径应用对D-to-B的应用研究 被引量:6

Impact of Clinical Pathway on Door to Balloon Time in Patients with Acute ST Elevated Myocardial Infarction
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摘要 目的分析急性ST段抬高心肌梗死(STEMI)患者应用临床路径(CP)后对门-球囊扩张(D-to-B)时间的影响。方法回顾性分析了2007年1月—2011年6月经我院急诊科救治的、发病时间≤12h、并行急诊冠脉介入治疗的STEMI患者343例,分为CP组和非CP组,分别记录如下时间:院前延迟、发病-治疗开始时间以及D-to-B时间。结果 204例CP组及139例非CP组患者D-to-B分别为(88.69±21.06)min、(98.13±28.63)min(P<0.05)。结论应用CP可明显缩短D-to-B,使急性STEMI患者获益更大。 Objective To investigate the impact of clinical pathway (CP) on door to balloon time in patients with a- cute ST - segment elevated myocardial infarction (STEMI). Methods To analyze 343 patients with STEMI who received primary percutaneous coronary intervention within 12 h after symptom onset from Jan 2007 to Dec 2010. The data were collected: prehospital delay, onset to treatment and door to balloon time. Results The following median times of door to balloon time were recorded: CP group was (88.69 ±21.06) min and non - CP group was (98. 13 ±28.63) min (P 〈0.05). Conclusion CP could significantly reduced door to balloon time.
出处 《实用心脑肺血管病杂志》 2012年第4期703-704,共2页 Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词 急性ST段抬高心肌梗死 门-球囊扩张时间 临床路径 Acute ST - segment elevated myocardial infarction Door to balloon time Clinical pathway
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