摘要
目的:为缩短急性ST段抬高型心肌梗死(ST-segment elevation myocardial infarction,STEMI)患者急诊行经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)的进门至球囊扩张(door-to-balloon,D-to-B)时间,提高抢救成功率,改善患者预后,提高医疗质量。方法:成立质量改进小组,用品管圈对接受PCI的急性STEMI患者的D-to-B时间进行干预,将品管圈实施前后的D-to-B时间及90min内D-to-B时间达标率进行对比。结果:品管圈实施后,急性STEMI患者急诊PCI的D-to-B平均时间仅为69.09min,显著低于品管圈实施前的121.13min(P<0.001);品管圈实施后,急性STEMI患者急诊PCI的90min内D-to-B时间达标率为87.04%,显著高于品管圈实施前的47.37%(P<0.001)。结论:应用品管圈对急性STEMI患者急诊PCI的D-to-B各阶段进行科学管理,可降低D-to-B时间,提高90min内D-to-B时间达标率,有效改进患者预后。
Objective:To shorten the D-to-B time of patients with acute STEMI undergoing PCI and improve the success rate of rescue. Methods:Quality control circle was set up to intervene the D-to-B time of STEMI patients undergoing PCI. The D-to-B time before and after the implementation of quality control circle was compared. The rate of D-to-B time reaching the standard within 90 minutes before and after the implementation of quality control circle was compared too. Results:The average D-to-B time of emergency PCI in patients with acute STEMI was only 69.09 minutes after the implementation of quality control circle, which was significantly lower than 121.13 minutes before the implementation of quality control circle (P<0.001). After the implementation of quality control circle, the D-to-B time of patients with acute STEMI undergoing PCI reached 87.04% within 90 minutes, significantly higher than 47.37% before the implementation of quality control circle (P<0.001). Conclusion: Scientific management of D-to-B time in emergency PCI of acute STEMI patients by quality control circle can reduce D-to-B time,improve the rate of D-to-B time reaching the standard within 90 minutes,and effectively promote the prognosis of patients.
作者
方佳英
肖俊会
汤少容
利满科
黄绪琼
黄滨
FANG Jiaying;XIAO Junhui;TANG Shaorong;LI Manke;HUANG Xuqiong;HUANG Bin(Department of Medical Affairs,Huadu District People’s Hospital of Guangzhou,Guangzhou 510800,China;Department of Cardiology,Huadu District People’s Hospital of Guangzhou,Guangzhou 510800,China)
出处
《汕头大学医学院学报》
2019年第2期122-125,共4页
Journal of Shantou University Medical College
关键词
品管圈
ST段抬高型心肌梗死
经皮冠状动脉介入治疗
进门至球囊扩张时间
quality control circle
ST-segment elevation myocardial infarction
percutaneous coronary intervention
door-to-balloon time
