摘要
目的探讨信息化全区域协同救治模式对急性ST段抬高型心肌梗死(ST-segment elevation myocardial infaretion,STEMI)患者再灌注时间的影响。方法 2019年7月始,广州市增城区120急救医疗指挥中心协同广州市增城区人民医院胸痛中心信息化全区域协同救治急性STEMI患者,急诊行直接经皮冠状动脉介入(percutaneous coronary intervention,PCI)治疗。本文回顾性分析2018年1月1日—2020年12月31日,经区120指挥中心调度转运至区人民医院胸痛中心救治并行急诊PCI治疗的急性STEMI患者临床资料,随机抽取信息化全区域协同救治模式之前救治的急性STEMI患者130例(2018年1月1日—2019年6月30日期间)设为对照组,信息化全区域协同救治模式之后救治的急性STEMI患者130例(2019年7月1日—2020年12月31日期间)设为观察组。对2组再灌注时间进行比较分析。结果观察组首次医疗接触至球囊扩张(FMC-to-B)时间、门到球囊(D-to-B)时间均短于对照组,差异有统计学意义(P<0.05)。结论信息化全区域协同救治模式的应用,可缩短急性STEM患者首次医疗接触至球囊扩张的时间(FMC-to-B)、门到球囊(D-to-B)时间,具有良好的社会效益和经济效益,值得推广。
Objective To investigate the effect of the information-based whole-region coordinated treatment model on the reperfusion time of patients with acute ST-segment elevation myocardial infaretion(STEMI).Methods Starting from July2019,Guangzhou Zengcheng District 120 Emergency Medical Command Center and Guangzhou Zengcheng District People’s Hospital Chest Pain Center informatized the entire region to coordinate the treatment of acute STEMI patients,and direct percutaneous coronary intervention(PCI)was performed in the emergency department.treatment.This article retrospectively analyzes the clinical data of acute STEMI patients who were dispatched by the district 120 command center to the chest pain center of the district people’s hospital for treatment and emergency PCI treatment from January 1,2018 to December 31,2020,and randomly selected information-based regional collaboration 130 cases of acute STEMI patients who were treated before the treatment mode(from January 1,2018 to June 30,2019)were set as the control group,and 130 cases of acute STEMI patients who were treated after the information-based coordinated treatment model for the whole region were randomly selected(2019)The period from July 1,2020 to December 31,2020)is set as the observation group.The reperfusion time of the two groups was compared and analyzed.Results Compared with the control group,the observation group can shorten the time from the first medical contact to balloon expansion(FMC-to-B)and door-to-balloon(D-to-B)time of acute STEMI patients.The difference between the two groups was statistically significant(P<0.05).Conclusion The application of the information-based full-region coordinated treatment model can shorten the time from first medical contact to balloon expansion(FMC-to-B)and door-to-balloon(D-to-B)time of acute STEM patients.This application has a good effect.Its social and economic benefits are worth promoting.
作者
陈华斌
肖宏凯
韦家运
Chen Huabin;Xiao Hongkai;Wei Jiayun(The Zengcheng District 120 Emergency Medical Command Center of Guangzhou City,Guangzhou,Guangdong 511300;The Zengcheng District People's Hospital of Guangzhou City,Guangzhou,Guangdong 511300)
出处
《基层医学论坛》
2021年第22期3142-3144,共3页
The Medical Forum
基金
广东省医学科研基金立项资助项目(A2021235)。
