摘要
目的探讨建立胸痛中心对急性ST段抬高型心肌梗死(STEMI)患者临床救治效果的影响。方法选择我院2017年1月—12月成立胸痛中心前的60例STEMI患者作为对照组,2018年1月—12月成立胸痛中心后的60例STEMI患者作为观察组,比较2组患者的救治效果及住院期间不良心脑血管事件(MACE)发生率。结果与对照组比较,观察组患者的D2B时间、首个心电图完成时间及住院时间明显缩短,住院费用明显下降,绕行急诊率明显升高,差异均有统计学意义(P<0.05)。观察组患者住院期间MACE发生率为15.00%(9/60),明显低于对照组的30.00%(18/60),差异具有统计学意义(P<0.05)。结论胸痛中心的建立可以有效提高STEMI患者的救治效果,降低MACE发生率,改善预后,减少住院时间及住院费用,值得推广。
Objective To explore the effect of establishing chest pain center on clinical treatment of acute ST-segment elevation myocardial infarction (STEMI).Methods 60 STEMI patients before the establishment of chest pain center in our hospital from January 2017 to December 2017 were selected as the control group,and 60 STEMI patients after the establishment of chest pain center in our hospital from January 2018 to December 2018 were selected as the observation group.The treatment effect and incidence of adverse cardio-cerebrovascular events (MACE)during hospitalization were compared between the two groups. Results Compared with the control group,the D2B time,the completion time of the first electrocardiogram and the hospitalization time of the patients in the observation group were significantly shortened,and hospitalization expenses was significantly reduced,the proportion of emergency bypass was increased,the difference was statistically significant(P<0.05).The incidence of MACE in the observation group was 15.00%(9/60),which was significantly lower than 30.00%(18/60)in the control group (P<0.05).Conclusion The establishment of chest pain center can effectively improve the treatment effect of STEMI patients,reduce the incidence of MACE,improve the prognosis of patients,reduce hospitalization time and hospitalization costs.It is worthy of wide clinical promotion.
作者
董梦舒
刘志辉
王平
冯骥
Dong Mengshu;Liu Zhihui;Wang Ping(The First People's Hospital of Jingdezhen City,Jingdezhen,Jiangxi 333000)
出处
《基层医学论坛》
2019年第23期3263-3264,共2页
The Medical Forum
基金
江西景德镇市科技计划项目(20181SFZC015)
关键词
胸痛中心
急性ST段抬高型心肌梗死
救治效果
不良心脑血管事件
Chest pain center
Acute ST-segment elevation myocardial infarction
Treatment effect
Adverse cardiovascular and cerebrovascular events
