胸痛中心认证对急性ST段抬高型心肌梗死救治速度的影响

发布时间：2018-03-11 12:40

本文选题：胸痛中心　切入点：认证工作　出处：《重庆医科大学学报》2017年05期 　论文类型：期刊论文

【摘要】：目的:分析中国胸痛中心联盟认证对提高急性ST段抬高型心肌梗死救治速度的影响。方法:回顾分析我院胸痛中心在认证前后患者的救治数据(2015年1月1日至12月31日间患者纳入认证前组,2016年1月1日至8月31日间患者纳入认证后组),对比分析患者基线情况、绕行急诊科和心内科监护室而直接进导管室做手术的比率、进医院大门至球囊扩张时间(门-球时间)、门-球时间达标率、动脉穿刺到球囊扩张时间、住院天数和住院费用、死亡率等。结果:与认证前相比,绕行急诊科和心内科监护室而直接进导管室做手术比率由33.9%提高至61.05%;门-球时间由(105.75±72.02)min下降至(73.25±54.14)min;门球时间达标率从49.11%上升至73.16%;动脉穿刺到球囊扩张时间由(29.43±14.45)min下降至(22.85±11.28)min;住院天数由(9.35±6.95)d下降至(7.89±4.74)d;住院费用由(5.74±2.92)万元下降至(4.62±1.55)万元,均有统计学意义(P0.05),但死亡率无统计学差异。结论:胸痛中心认证显著提高急性ST段抬高型心肌梗死救治速度,让患者能获得更好的治疗。
[Abstract]:Objective: to analyze the effect of Chinese chest pain center certification on improving the treatment speed of acute ST-segment elevation myocardial infarction. Methods: the data of patients with chest pain in our hospital before and after certification (January 1st 2015 to 12) were analyzed retrospectively. The patients were included in the pre-certification group between 31st and January 1st 2016 to August 31st. The baseline of the patients was compared and analyzed. The rate of bypass emergency and cardiology intensive care units and direct operation into the catheter room, the time between entrance to hospital and balloon dilation (gateball time, door-ball time, balloon dilatation time, time of artery puncture to balloon dilatation, length of stay in hospital and hospital expenses, etc.). Mortality rate, etc. Results: compared with pre-certification, The ratio of direct catheterization was increased from 33.9% to 61.05, the gateball time decreased from 105.75 卤72.02 min to 73.25 卤54.14 min, the gateball time reached the standard from 49.11% to 73.16 min, and the time from artery puncture to balloon dilation decreased from 29.43 卤14.45 min to 73.16 min. The days of hospitalization decreased from 9.35 卤6.95 to 7.89 卤4.74 days, and the cost of hospitalization decreased from 5.74 卤2.92 to 4.62 卤15,500 yuan, respectively, and the duration of hospitalization decreased from 9.35 卤6.95 to 7.89 卤4.74 minutes, and the cost of hospitalization decreased from 5.74 卤2.92 to 4.62 卤15,500 yuan. Conclusion: chest pain center certification can significantly improve the treatment speed of acute ST-segment elevation myocardial infarction, so that patients can get better treatment.
【作者单位】：重庆医科大学附属第一医院心内科;
【基金】：国家自然科学基金资助项目(编号:81541098) 重庆市卫生计生委研究资助项目(编号:2016MSXM019)
【分类号】：R542.22

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