摘要
目的探讨新型冠状病毒肺炎(COVID-19)疫情防控时期急性ST段抬高型心肌梗死(STEMI)的急诊救治效率。方法回顾性研究北京市大兴区人民医院于2020年1月20日至3月23日COVID-19疫情防控期间收治的行急诊经皮冠状动脉介入术(PCI)的急性STEMI患者51例作为观察组,2019年1月20日至3月23日非COVID-19疫情期间收治的行急诊PCI的急性STEMI患者67例作为对照组。观察两组患者首次医疗接触时间(FMC),进门至球囊扩张时间(D-to-B),D-to-B达标率(<90 min为达标),总缺血时间、左心室射血分数(LVEF)、住院期间不良事件发生情况。结果两组入院时一般资料比较,差异无统计学意义(P>0.05),两组FMC、D-to-B、D-to-B达标率、总缺血时间等救治效率指标差异无统计学意义(P>0.05),两组住院期间辅助治疗设备应用情况及LVEF差异无统计学意义(P>0.05),两组院内不良事件发生情况差异无统计学意义(P>0.05),但两组住院时间差异有统计学意义(P<0.05),COVID-19疫情期间患者住院时间明显比同期2019年有所缩短。结论COVID-19疫情全民防控时期区域内急性STEMI的发病率较2019年稍有下降,在COVID-19疫情防控下优化完善急性心肌梗死的诊治流程及进行积极有效的治疗策略,使得院内救治效率及院内不良事件发生率较非疫情期间无明显变化。
Objective To investigate the efficiency of emergency treatment on acute ST-segment elevation myocardial infarction(STEMI)during epidemic prevention and control of Corona Virus Disease 2019(COVID-19).Methods The patients(n=51)with acute STEMI undergone emergency percutaneous coronary intervention(PCI)were retrospectively analyzed and chosen into observation group in People’s Hospital of Daxing District of Beijing during prevention and control of COVID-19 epidemic period from Jan.20,2020 to Mar.23,2020.The patients(n=67)with acute STEMI undergone emergency PCI were chosen into control group during non-COVID-19 epidemic period from Jan.20,2019 to Mar.23,2019.The first medical contact time(FMC),door-to-balloon time(D-to-B),D-to-B compliance rate(<90 as compliance),the total ischemic time,left ventricular ejection fraction(LVEF)and adverse events during hospitaliztion were observed in 2 groups.Results The difference in general data on admission had no statistical significance between 2 groups(P>0.05),and the difference in FMC,D-to-B,D-to-B compliance rate had no statistical significance between 2 groups(P>0.05).The difference in application of auxiliary treatment equipments and LVEF had no statistical significance between 2 groups(P>0.05),and difference in adverse events during hospitalization had no statistical significance between 2 groups(P>0.05).The difference in length of hospital stay had statistical significance between 2 groups(P<0.05),and length of hospital stay was significantly shorter during COVID-19 epidemic period than that in 2019.Conclusion The incidence rate of acute STEMI decreases during COVID-19 epidemic period than that in 2019.The efficiency of emergency treatment of acute STEMI and adverse events during hospitalization have significant changes during epidemic prevention and control of COVID-19 period as the diagnosistreatment procedure and therapeutic strategies are optimized and perfected.
作者
赵冬婧
汤玮
曹树军
王文斌
Zhao Dongjing;Tang Wei;Cao Shujun;Wang Wenbin(Department of Cardiovascular Medicine,Daxing Teaching Hospital,Capital Medical University,Beijing 102600,China;不详)
出处
《中国循证心血管医学杂志》
2020年第8期967-970,974,共5页
Chinese Journal of Evidence-Based Cardiovascular Medicine
基金
北京市大兴区人民医院2020年院级新冠专项课题(4202040348)。
关键词
急性心肌梗死
新型冠状病毒肺炎
经皮冠脉介入治疗术
急诊救治效率
Acute myocardial infarction
Corona Virus Disease 2019
Percutaneous coronary intervention
Efficiency of emergency treatment
