摘要
目的分析规范化胸痛中心建设对急性ST段抬高型心肌梗死(STEMI)患者经皮冠状动脉介入术(PCI)后再灌注时间、住院时间及预后的影响。方法选取2019年3月至2020年6月徐州市中心医院收治的STEMI患者120例,按照在规范化胸痛中心建设完成的前后为标准分为观察组(规范化胸痛中心组)和对照组(绿色通道组),每组患者60例,所有患者均采取PCI治疗,观察对比两组患者术后再灌注时间、住院时间及心力衰竭等发生率。结果观察组患者首诊接触至接受PCI的时间、再灌注时间和住院时间与对照组患者比较,差异有统计学意义(t=42.357、8.213、10.462,P<0.05)。观察组患者出现心力衰竭的发生率与对照组比较,差异有统计学意义(χ^(2)=3.733,P<0.05)。术后随访结果显示,观察组患者治疗满意度,显著优于对照组患者治疗满意度,差异对比有统计学意义(χ^(2)=7.212,P<0.05)。结论规范化胸痛中心可缩短对STEMI患者PCI的再灌注时间、住院时间,并降低心力衰竭的发生率,值得在临床中推广借鉴。
Objective To explore the impact of standardized chest pain center construction on the reperfusion time,hospital stay,incidence of heart failure and prognosis in patients with acute ST-segment elevation myocardial infarction(STEMI)after percutaneous coronary intervention(PCI).Methods A total of 120 STEMI patients admitted to Xuzhou Central Hospital from March 2019 to June 2020 were selected.According to whether the admission time was before or after the standardized chest pain center construction,they were divided into observation group(standardized chest pain center group)and control group(green channel group),60 patients in each group.All patients were treated with PCI.The postoperative reperfusion time,hospital stay and the incidence of heart failure were observed and compared between the two groups.Results Compared with the control group,there were statistically significant differences in the time of first visit to PCI operation,reperfusion time and hospital stay of the observation group(t=42.357,8.213,10.462;P<0.05).The incidence of heart failure in the observation group had significant differences compared with that of the control group(χ^(2)=3.733,P<0.05).The postoperative follow-up results showed that the treatment satisfaction of patients in the observation group was significantly better than that of patients in the control group(χ^(2)=7.212,P<0.05).Conclusion The standardized chest pain center can shorten the reperfusion time and hospital stay for patients with acute STEMI after PCI,and reduce the incidence of heart failure.It is worthy of promotion in clinical practice.
作者
史园园
朱云
Shi Yuanyuan;Zhu Yun(Department of Cardiology,Xuzhou Central Hospital,Xuzhou 221009,China)
出处
《心脑血管病防治》
2023年第3期17-19,共3页
CARDIO-CEREBROVASCULAR DISEASE PREVENTION AND TREATMENT
关键词
规范化胸痛中心
急性ST段抬高型心肌梗死
经皮冠状动脉介入治疗
再灌注时间
心力衰竭
Standardized chest pain center
Acute ST-segment elevation myocardial infarction
Percutaneous coronary intervention
Reperfusion time
Heart failure
