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重庆医科大学附属第一医院心内科
纸质出版日期:2017,
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唐萍, 罗素新, 余中琴, 等. 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[J]. 重庆医科大学学报, 2017,42(5):550-553.
Tang Ping, Luo Suxin, Yu Zhongqin, et al. Chest pain center accreditation can significantly speed up the treatment of acute ST segment elevation myocardial infarction[J]. Journal of Chongqing Medical University, 2017,42(5):550-553.
唐萍, 罗素新, 余中琴, 等. 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[J]. 重庆医科大学学报, 2017,42(5):550-553. DOI: 10.13406/j.cnki.cyxb.001160.
Tang Ping, Luo Suxin, Yu Zhongqin, et al. Chest pain center accreditation can significantly speed up the treatment of acute ST segment elevation myocardial infarction[J]. Journal of Chongqing Medical University, 2017,42(5):550-553. DOI: 10.13406/j.cnki.cyxb.001160.
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(P<0.05)
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。
Objective:To test the hypothesis that Chinese Chest Pain Center Alliance accreditation can speed up the treatment of acute ST segment elevation myocardial infarction(STEM). Methods:The data of the treatment of STEMI patients were retrospectively analyzed. Two groups were divided according to the date(from January 1
2015 to December 31
2015 as the pre-accreditation group;from January 1
2016 to August 31
2016 as after-accreditation group). The baseline condition
the percent of patients directly into catheter room through green channel
door to balloon time
standard-reaching rate of door to balloon time
the time from artery puncture to balloon dilation
the duration and cost of hospitalization
mortality rate in hospital were analyzed and compared. Results:Compared with those of pre-accreditation group
the percent of patients directly into catheter room through green channel increase from 33.9% to 61.05%;the door to balloon time was decreased from(105.75 ±72.02) min to(73.25 ±54.14) min;the percent of door to balloon time increased from 49.11% to 73.16%;the time from artery puncture to balloon dilation decreased from(29.43 ±14.45)min to(22.85±11.28)min;the length of hospital stay reduced from(9.35±6.95)days to(7.89±4.74)days and cost were reduced from(57.4±29.2)ten thousand yuan to(46.2±15.5)ten thousand yuan. The mortality rate was not significantly changed.Conclusion:Chest pain center accreditation can significantly speed up the treatment of acute ST segment elevation myocardial infarction.
胸痛中心认证工作急性ST段抬高型心肌梗死门-球时间
chest pain centeraccreditationST segment elevation myocardial infarctiondoor to balloon time
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