摘要
Abstract
Objective To compare the time and parameters of STEMI patients with PCI in STEMI patients with three different clinical emergency routes,such as traditional channel,green channel and optimized green channel.Methods A total of 335 patients with STEMI who underwent PCI treatment within 12 hours of on-set were selected.Among them,84 cases were enrolled in the traditional channel group,115 were green passa-ges and 136 were green channels.The main observation was the first(FMC2A)time,first medical contact to balloon dilatation(FMC2B),treatment to balloon dilatation(D2B) time,first medical contact to sign of inter-ventional treatment consent(FMC2S)time,cerebrovascular accident,the second time during hospital non-fatal myocardial infarction,cardiac and all-cause death,heart failure,and the incidence of major cardiovascular e-vents in the survey,compared with three groups without event survival,the use of Logistic Regression analysis and analysis of STEMI patients in the PCI after surgery and half a year follow-up during the clinical prognosis of various related factors.Results FMC2A time,FMC2B time,FMC2S time and D2B time were shortened in the traditional channel group,green channel group and optimized green channel group.The rates of heart fail-ure,cerebrovascular accident,non-factal myocardial infarction once again between the three groups had no sta-tistical differences(P>0.05).Compared with the traditional channel group,the green channel group and the optimized channel group had lower mortality rates(P<0.05)for various causes including cardiovascular dis-ease during hospitalization,compared with the green chonnel group(P>0.05).During the follow-up period, the three groups of patients had no more fatal myocardial infarction,angina pectoris,angina pectoris,angina pectoris,angina pectoris,angina pectoris,angina pectoris(P> 0.05).Compared with the traditional channel group,the green channel group and the optimized channel group were again hospitalized by heart disease,heart failure,heart source,heart rate,heart rate,heart rate and heart rate Sex and all-cause mortality was low(P<0.05).Conclusion The optimized green channel model can significantly reduce FMC2A time,FMC2B time, FMC2S time,D2B time,and improve clinical outcomes during and after PCI for half a year follow-up.关键词
传统通道/绿色通道/优化绿色通道/第1次医疗接触至抗血小板治疗时间/第1次医疗接触至球囊扩张时间/第1次医疗接触至签署介入治疗同意书时间Key words
traditional channel/green channel/optimized green channel/FMC2A time/FMC2B time/FM C2S time分类
医药卫生
