摘要
目的探讨宿迁地区基层胸痛中心发病至送达胸痛中心大门(symptom onset to door,StoD)时间的影响因素及对策。方法选择2022年1月—2023年6月宿迁市中西医结合医院胸痛中心收治的81例急性心肌梗死患者为研究对象。根据患者StoD时间分为≤6 h组50例与>6 h组31例。统计人口学资料以及相关影响因子,利用单因素分析与多因素logistic回归分析胸痛中心StoD时间的影响因素。结果2组疼痛程度评分、通过120入院还是自行来院、社区医生是否通过网络将心电图结果传输至胸痛中心、发病症状是否典型、家属态度是否积极、有无心血管疾病危险因素、是否夜间发病、发病地点与就诊医院的距离等指标比较,差异有统计学意义(P<0.05)。单因素分析及多因素logistic回归分析显示,自行来院、发病症状不典型、有心血管疾病危险因素、夜间发病、发病地点与就诊医院距离远均是胸痛中心StoD时间的危险因素,家属态度积极为保护因素(P<0.05)。结论基层胸痛中心StoD时间受患者来院途径、症状表现以及发病时间等影响,而家属积极态度有利于缩短StoD时间,需提高家属对疾病的认识,发挥区域诊疗中心协同救治的作用,缩短StoD时间及提高救治效率。
Objective To investigate the influencing factors and countermeasures of symptom onset to door(StoD)time of grassroots chest pain center in Suqian area.Methods A total of 81 patients with acute myocardial infarction admitted to chest pain center of Suqian Integrated Traditional Chinese and Western Medicine Hospital from January 2022 to June 2023 were selected as the study objects.According to StoD time,the patients were divided into a group of 50 patients≤6 h and a group of 31 patients>6 h.Demographic data and related influence factors,the influencing factors of StoD time in chest pain center were analyzed by univariate analysis and multiple logistic regression.Results There were statistically significant differences between the two groups in pain degree score,admission through 120 or self-admission,whether community doctors transmitted ECG results to the chest pain center through the network,whether the onset symptoms were typical,whether family members were positive,whether there were cardiovascular disease risk factors,whether the onset occurred at night,and the distance between the onset place and the hospital(P<0.05).Univariate analysis and multivariate logistic regression analysis showed that self-admission,atypical onset symptoms,cardiovascular disease risk factors,night onset,and long distance between the onset place and the hospital were all risk factors for StoD time of chest pain center,and positive attitude of family members was protective factor(P<0.05).Conclusion StoD time in grassroots chest pain centers is affected by the way patients come to hospital,symptom manifestations and onset time,and the positive attitude of family members is conducive to shortening StoD time.It is necessary to improve family members'awareness of the disease,play the role of regional diagnosis and treatment centers,shorten StoD time and improve treatment efficiency.
作者
李红云
徐聪
董得刚
戴生喜
赵园园
LI Hongyun;XU Cong;DONG Degang;DAI Shengxi;ZHAO Yuanyuan(Department of Cardiology,Suqian Integrated Traditional Chinese and Western Medicine Hospital,Suqian Jiangsu 223800,China)
出处
《中国卫生标准管理》
2024年第12期109-112,共4页
China Health Standard Management
基金
江苏省宿迁市科技局立项项目(202210)。
关键词
急性心肌梗死
基层医院
胸痛中心
影响因素
救治
对策
acute myocardial infarction
basic hospitals
chest pain center
influencing factors
provide medical treatment
counterplan
