中华灾害救援医学2016，Vol.4Issue(5)：246-249,4.DOI:10.13919/j.issn.2095-6274.2016.05.002
区域协同救治系统对急性ST段抬高型心肌梗死患者再灌注治疗的影响
Effect of reperfusion therapy on STEMI patients transported by regional cooperative rescue system
摘要
Abstract
Objective To explore the effect of regional cooperative rescue system based on mobile internet of patients with ST-segment elevation myocardial infarction (STEMI) on the time node and prognosis.Methods According to whether the unit was equipped with a regional cooperative rescue system as the first medical contact (FMC) occurred on STEMI patients, the patients were divided into experimental group and control group. Every time node during transport process, the time to peak and peak value of cardiac troponin I (cTNI), the rate of heart failure or cardiac death during hospitalization, the value of ejection fractions (EF) measured in 24 h, and indicators of health economics (total hospital charges, days) were observed.Results The difference of each time nodes between two groups were all statistically significant (P<0.05); the peak time of cTnI was earlier in experimental group than control group (t=-2.80,P<0.01), the peak value of cTnI was decreased in experimental group compared with the control group (t=-5.32,P<0.01); values of EF within 24 h after admission were significantly lower in control group than experimental group (t=2.37,P<0.05); heart failure rate in hospital of experimental group was less than that of the control group (χ2=4.46,P=0.03); cardiac mortality rate of experimental group was less than that of the control group, and it was not significant between the two groups (χ2=0.19,P=0.66); total cost in hospital, total hospital stay were significantly decreased in experimental group compared with the control group (t=3.67,P<0.01;t=2.75,P=0.01).Conclusions Regional cooperative rescue system could significantly shorten the time delay of patients with STEMI, improve heart function in acute stage and reduce the time and cost in hospital.关键词
区域协同救治系统/ST段抬高型心肌梗死/首次医疗接触时间/入门至球囊扩张时间Key words
regional cooperative rescue system/ST-segment elevation myocardial infarction/first medical contact to device time/door-to-balloon time分类
医药卫生引用本文复制引用
刘晓曦,刘惠亮,於四军..区域协同救治系统对急性ST段抬高型心肌梗死患者再灌注治疗的影响[J].中华灾害救援医学,2016,4(5):246-249,4.基金项目
武警总医院院内一类课题 （）
