摘要
目的了解急性ST段抬高型心肌梗死诊治现状,提高诊治水平。方法按照卫生部单病种质量控制指标如发病至就诊时间、第1份心电图时间、使用阿司匹林、β阻滞剂、ACEI/ARB、他汀类药物的情况等对急性ST段抬高型心肌梗死的诊治现状进行分析。结果发病到就诊时间平均452.61±822.87min,从进入急诊到第一份心电图时间平均16.97min。对患者进行健康教育100%,并在病历和护理记录中有反映。病情允许的情况下按照指南使用阿司匹林、β阻滞剂、ACEI/ARB,他汀类药物的使用率100%。结论急性ST段抬高型心肌梗死救治环节中仍存在着就诊延迟、部分能改善预后药物的应用不足等问题,需要进一步强化患者教育以及提高临床诊治水平。
Objective To understand the current situation of diagnosis and treatment of acute ST-segment elevation myocardial infarction and improve the level of diagnosis and treatment. Methods Analyzing diagnosis and treatment of acute ST-segment elevation myocardial infarction according to single disease quality control indicators of the ministry of health such as the onset to treatment time, an electrocardiogram time, use of aspirin, β blockers, ACEI / ARB, statin, etc. Results The average time of onset to treatment is 452.61 ± 822.87 min, the average time of the emergency to the first ECG is 16.97min. 100% of patients were implemented of health education and is reflected in the medical and nursing records. The utilization of aspirin, βblockers, ACEI / ARB, statin drug is 100% in permission of the illness according to the index. Conclusion There are problems such treatment delay, partly improve insufficient application of the prognosis drug in the treatment links of acute ST - segment elevation myocardial infarction, and we need to further strengthen the education of patients and improve clinical diagnosis and treatment.
出处
《中国病案》
2012年第6期77-79,共3页
Chinese Medical Record
关键词
急性ST段抬高型心肌梗死
单病种指标
就诊时间
药物治疗
Acute ST-segment elevation type myocardial infarction
Single disease index
Visit time
Pharmacotherapy
