摘要
目的 探讨急诊流程优化策略在急性ST段抬高型心肌梗死患者救治中的应用价值.方法 以2018年1—3月急诊抢救室接诊的急性ST段抬高型心肌梗死患者中进行PCI急诊手术的35例患者作为对照组,其中男32例,女3例,年龄38~82岁,平均(63.3±10.6)岁;以实施急诊流程优化策略后2018年9—11月急诊抢救室接诊的急性ST段抬高型心肌梗死患者中进行PCI急诊手术的45例患者作为观察组,其中男41例,女4例,年龄42~79岁,平均(60.5±9.4)岁.对照两组救治效果.结果 对照组和观察组院内首份心电图时间、检验报告时间、进门-球囊扩张(D-to-B)时间比较,差异均有统计学意义(P<0.05).结论 实施急诊流程优化策略后,缩短了急性ST段抬高型心肌梗死患者D-to-B的时间,提高了胸痛中心救治团队的工作效率,同时提高了与院前急救和社区医疗机构衔接效率,改善了救治效果,提高了救治质量.
Objective To explore the application value of emergeney process optimization stralegy in the treatment of patients with acute ST segment elevation myocardial infarction.Methods A total of 35 patients with acute ST segment elevation myocardial infaretion(STEMI)treated in the emergency room from January to march in 2018 were sected as the control group,including 32 males and 3 females,aged 38~82 years,with an average age of(63.3±10.6)years.43 patients 39 males and 4 females,aged 42~79 years,with an average age of(60.5±9.4)years,underwent PCI emer-geney operation as the observation group.The treatment ffeet of the two groups was compared.Results There were sig-nificant differences between the control group and the observation group in the first ECG time,lest report time and D-to-B time(P<0.05).Conclusion The implementation of emergency process optimization strategy can shorten the D-to-B time of patients with acute ST segment elevation myocardial infarction,improve the work efficiency of the treat-ment tearm of chest pain center,and improve the connection fficieney with pre hospital first aid and community medi-cal institutions,improve the treatment effect and treatment quality.
作者
张萍
许正红
严兆娴
盖纳
ZHANG Ping;XU Zhenghong;YAN Zhaoxian;GAI Na(Department of Emergency Medicine,Wuxi People's Hospital,Nanjing Medical University,Wuxi Jiangsu 214023,China)
出处
《中国急救复苏与灾害医学杂志》
2020年第9期1034-1036,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
