胸痛中心持续改进机制对急性心肌梗死患者行PPCI治疗的影响

doi:10.3969/j.issn.1004-583X.2020.03.005

临床荟萃

胸痛中心持续改进机制对急性心肌梗死患者行PPCI治疗的影响

宿州市第一人民医院心内科，安徽宿州 234000

出版日期:2020-03-20 发布日期:2020-03-27
通讯作者: 徐艳秋, Email: 877195277@qq.com

Effect of continuous improvement of chest pain center on PPCI in patients with acute myocardial infarction

Department of Cardiology, Suzhou First People's Hospital, Suzhou 234000, China

Online:2020-03-20 Published:2020-03-27
Contact: Corresponding author: Xu Yanqiu, Email: 877195277@qq.com

摘要/Abstract

摘要： 目的探讨胸痛中心持续改进机制对急性ST 段抬高型心肌梗死（STEMI）行直接经皮冠状动脉介入治疗（PPCI）患者关键指标的影响。方法 2017年12月至2018年11月在我院行PPCI的急性 STEMI 患者90例，其中2017年12月至2018年5月46例为对照组，2018年6月至 2018年11月44例为观察组。比较两组的首份心电图获取时间、微信传输比例、绕行急诊和冠心病重症监护病房（CCU）比例、门球扩张（DtoB）时间。结果观察组首份心电图获取时间、DtoB时间低于对照组（P<0.05）；观察组微信传输比例、绕行急诊和CCU比例高于对照组（P<0.05）。结论胸痛中心持续改进可提高STEMI患者的微信传输比例、绕行急诊和CCU比例，缩短首份心电图获取时间、DtoB时间，为STEMI患者进一步救治赢得时间。

关键词: 冠状动脉疾病, 胸痛, 心电描记术, 微信, 病人转送

Abstract: Objective To investigate the effects of continuous improvement of chest pain center on key indicators of direct percutaneous coronary intervention (PPCI) in patients with acute ST segment elevation myocardial infarction (STEMI).Methods A total of 90 patients with acute STEMI who underwent PPCI in our hospital from December 2017 to November 2018 were enrolled. Of which, 46 patients treated in the period of December 2017May 2018 were selected as control group, and 44 patients treated in the period of JuneNovember 2018 were selected as observation group. The first ECG acquisition time, WeChat transmission ratio, bypass emergency and coronary heart disease intensive care unit (CCU) ratio, and gateball expansion (DtoB) time were compared between two groups. Results The first ECG acquisition time and DtoB time in observation group were lower than those in control group (P<0.05); WeChat transmission ratio, bypass emergency departmentand CCU ratio in observation group were higher than those in control group (P<0.05). Conclusion Continuous improvement of the chest pain center can increase the WeChat transmission ratio, bypass emergency department and CCU ratio of STEMI patients, and shorten the first ECG acquisition time and DtoB time, which can win time for further treatment of STEMI patients.

Key words: coronary disease, chest pain, electrocardiography, WeChat transmission; , ttransportation of patients

徐艳秋，户学敏，张伟. 胸痛中心持续改进机制对急性心肌梗死患者行PPCI治疗的影响[J]. 临床荟萃, doi: 10.3969/j.issn.1004-583X.2020.03.005.

Xu Yanqiu, Hu Xuemin, Zhang Wei. Effect of continuous improvement of chest pain center on PPCI in patients with acute myocardial infarction[J]. Clinical Focus, doi: 10.3969/j.issn.1004-583X.2020.03.005.

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链接本文: https://huicui.hebmu.edu.cn/CN/10.3969/j.issn.1004-583X.2020.03.005

https://huicui.hebmu.edu.cn/CN/Y2020/V35/I3/221

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胸痛中心持续改进机制对急性心肌梗死患者行PPCI治疗的影响

Effect of continuous improvement of chest pain center on PPCI in patients with acute myocardial infarction

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