摘要
目的:探讨基于微信平台的社区宣教对减少急性ST段抬高型心肌梗死再灌注损伤治疗中院前延误的效果。方法:2019年3月至2020年12月期间重庆市北碚区静观镇对其所管辖的社区居民进行基于微信平台的社区宣教,该地区其他9个街道、7个镇的居民在此期间未接受专门的健康宣教。在接受基于微信平台健康宣教的静观镇居民中选取26例急性ST段抬高型心肌梗死患者作为干预组,在未接受健康宣教的其他9个街道、7个镇的居民中选取82例急性ST段抬高型心肌梗死患者作为对照组。比较两组患者的心肌肌钙蛋白I(cTNI)达峰时间及峰值、院内心力衰竭的发生率、心源性猝死的发生率、左室射血分数(LVEF)及相关卫生经济学指标。结果:干预组患者的cTNI达峰时间短于对照组患者,其cTNI峰值低于对照组患者,P<0.05。干预组患者院内心力衰竭的发生率低于对照组患者,其LVEF高于对照组患者,治疗的费用少于对照组患者,住院的时间短于对照组患者,P<0.05。两组患者心源性猝死的发生率相比,P>0.05。结论:对社区居民进行基于微信平台的社区宣教能显著减少急性ST段抬高型心肌梗死再灌注治疗中的院前延误,改善患者急性期的心功能,缩短其治疗的时间,减少其治疗的费用,有利于其获得良好的预后。
Objective:To explore the effect of community education based on wechat platform on reducing prehospital delay in the treatment of acute ST-segment elevation myocardial infarction reperfusion injury.Methods:From March 2019 to December 2020,Jingguan Town,Beibei District,Chongqing carried out community education based on wechat platform,while residents of other 9 streets and 7 towns in this area did not receive special health education during this period.In jingguan Town,26 patients with ACUTE ST-elevation myocardial infarction who received health education based on wechat platform were selected as the intervention group,and 82 patients with acute ST-elevation myocardial infarction who did not receive health education from other 9 streets and 7 towns were selected as the control group.The peak time and peak of cardiac troponin I(cTNI),incidence of nosocomial heart failure,incidence of sudden cardiac death,left ventricular ejection fraction(LVEF)and related health economic indicators were compared between 2 groups.Results:The peak time of cTNI in the intervention group was shorter than that in the control group,and the peak value of cTNI was lower than that in the control group,P<0.05.The incidence of nosocomial heart failure in the intervention group was lower than that in the control group,the LVEF was higher than that in the control group,the treatment cost was lower than that in the control group,and the hospitalization time was shorter than that in the control group,P<0.05.The incidence of sudden cardiac death in 2 groups was compared,P>0.05.Conclusion:Community education based on wechat platform for community residents can significantly reduce the prehospital delay in the reperfusion treatment of acute STsegment elevation myocardial infarction,improve the cardiac function of patients in the acute stage,shorten the treatment time,reduce the treatment cost,and is conducive to a good prognosis.
作者
尚伟
黄勇
邱先狄
张晓良
徐中林
杨松
SHANG Wei;HUANG Yong;QIU Xiandi;ZHANG Xiaoliang;XU Zhonglin;YANG Song(Department of Cardiovascular Medicine,Chongqing Ninth People’s Hospital,Chongqing 400700)
基金
重庆市第九人民医院院级项目(编号:2019YJXM07)。
关键词
微信平台
社区宣教
急性ST段抬高型心肌梗死
再灌注损伤
院前延误
wechat platform
Community mission
Acute ST-segment elevation myocardial infarction
Reperfusion injury
Prehospital delays
