[1]贾俏红.不同院前急救模式对急性ST段抬高型心肌梗死的救治效果[J].医学信息,2021,34(09):134-136.[doi:10.3969/j.issn.1006-1959.2021.09.036]
　JIA Qiao-hong.The Effect of Different Pre-hospital Emergency Treatment Modes on Acute ST-segment Elevation Myocardial Infarction[J].Medical Information,2021,34(09):134-136.[doi:10.3969/j.issn.1006-1959.2021.09.036]
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不同院前急救模式对急性ST段抬高型心肌梗死的救治效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年09期
页码:
134-136
栏目:
临床研究
出版日期:
2021-05-01

文章信息/Info

Title:
The Effect of Different Pre-hospital Emergency Treatment Modes on Acute ST-segment Elevation Myocardial Infarction
文章编号:
1006-1959（2021）09-0134-03
作者:
贾俏红
（太原市人民医院急救站，山西 太原 030001）
Author(s):
JIA Qiao-hong
(Department of Emergency,Taiyuan People’s Hospital,Taiyuan 030001,Shanxi,China)
关键词:
院前急救; 急性ST段抬高型心肌梗死; 经皮冠状动脉介入术
Keywords:
Pre-hospital emergency; Acute ST-segment elevation myocardial infarction; Percutaneous coronary intervention
分类号:
R542.22
DOI:
10.3969/j.issn.1006-1959.2021.09.036
文献标志码:
A
摘要:
目的 分析院前急救路径、传统院前急救及自行前往急诊科三种急救模式对急性ST段抬高型心肌梗死（STEMI）患者的救治效果及对预后的影响，为实现快速、高效的医疗救治提供参考依据。方法 回顾性分析2019年6月~2020年6月我院急救站救治并送院行PCI治疗的156例STEMI患者，根据急救模式分为甲（50例）、乙（56例）、丙（50例）三组，甲组实施院前急救路径模式，乙组采用传统院前急救模式，丙组自行前往急诊科就医，比较三组诊治参数、存活率、出院后30 d内再次入院率及并发症发生率。结果 甲、乙组发病至首次医疗接触时间、首次医疗接触至进门时间、住院天数均少于丙组，差异有统计学意义（P＜0.05）；甲组首次医疗接触至进门时间少于乙组，差异有统计学意义（P＜0.05）；甲组存活率（72.00%）高于乙组（46.43%）及丙组（38.00%），差异有统计学意义（P＜0.05）；三组出院后30 d内再次入院率比较，差异无统计学意义（P＞0.05）；甲组并发症发生率（10.00%）、乙组并发症发生率（25.00%）均低于丙组（54.00%），差异有统计学意义（P＜0.05）。结论 在STEMI救治中，院前急救路径模式可缩短救治时间，提高救治成功率，降低并发症发生率。
Abstract:
Objective To analyze the effects of three emergency modes: pre-hospital emergency route, traditional pre-hospital emergency and self-going to the emergency department on the treatment effect and prognosis of patients with acute ST-elevation myocardial infarction (STEMI), in order to achieve rapid and efficient medical treatment provide reference basis.Methods A retrospective analysis of 156 patients with STEMI who were treated at the emergency station of our hospital and sent to the hospital for PCI treatment from June 2019 to June 2020.According to the emergency mode, it is divided into three groups: A (50 cases), B (56 cases), and C (50 cases). Group A implements the pre-hospital emergency route mode, Group B uses the traditional pre-hospital emergency mode, and Group C goes to the emergency department for medical treatment.The diagnosis and treatment parameters, survival rate, re-admission rate and complication rate within 30 days after discharge were compared among the three groups.Results The time from onset to first medical contact, the time from first medical contact to entrance, and the length of hospital stay in groups A and B were less than those in group C,the difference was statistically significant (P<0.05);The time from first medical contact to door entry in group A was less than that in group B,the difference was statistically significant (P<0.05);The survival rate of group A (72.00%) was higher than that of group B (46.43%) and group C (38.00%),the difference was statistically significant (P<0.05);There was no statistically significant difference in the rate of re-admission within 30 d after discharge from the 3 groups (P>0.05);The complication rate of group A (10.00%) and group B (25.00%) were lower than those of group C (54.00%),the difference was statistically significant (P<0.05).Conclusion In the treatment of STEMI, the pre-hospital emergency route mode can shorten the treatment time, increase the success rate of treatment, and reduce the incidence of complications.

参考文献/References:

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更新日期/Last Update: 1900-01-01