内科2023，Vol.18Issue(6)：513-517,5.DOI:10.16121/j.cnki.cn45-1347/r.2023.06.01
医联体模式下胸痛中心区域协同救治体系建设对急性ST段抬高型心肌梗死患者的疗效和预后的影响
Impact of establishment of a regional collaborative rescue system for chest pain center under the medical treatment partnerships mode on the efficacy and prognosis of patients with acute ST-segment elevation myocardial infarction
摘要
Abstract
Objective To observe the impact of a regional collaborative rescue system for chest pain center(CPC)under the medical treatment partnerships mode on the efficacy and prognosis of patients with acute ST-elevation myocardial infarction(ASTEMI)treated with primary percutaneous coronary intervention(PPCI).Methods A total of 181 patients with ASTEMI treated with PPCI were included as research subjects,among which patients who were not transferred by the 120 emergency centers were the control group(n=139),and patients who were transferred from medical institutions within the medical treatment partnerships and by the 120 emergency centers were the observation group(n=42).The quality control indexes of CPC and short-term prognosis were compared between the two groups.Results The time for symptom to first medical contact,symptom to first electrocardiogram,catheterization laboratory activation,symptom to door,symptom to balloon,and door to balloon(D2B)and the incidence of heart failure within 3 months after treatment in the observation group were shorter/lower than those in the control group,and the time for first medical contact to balloon and the D2B attainment rate were longer/higher than those in the control group(all P＜0.05).There was no statistically significant difference in in-hospital mortality,in-hospital heart failure incidence,mortality within 3 months after treatment,length of hospital stay,or hospitalization cost between the two groups(all P＞0.05).Conclusion The establishment of a regional collaborative rescue system for CPC under the medical treatment partnerships mode can strengthen pre-hospital first aid,shorten the time for D2B,improve the D2B attainment rate,enhance the rescue capacity and efficiency for patients with ASTEMI,and reduce the incidence of heart failure within 3 months after treatment,which is feasible and effective.关键词
胸痛中心/急性ST段抬高型心肌梗死/直接经皮冠状动脉介入/区域协同救治/医联体Key words
Chest pain center/Acute ST-elevation myocardial infarction/Primary percutaneous coronary intervention/Regional collaborative rescue/Medical treatment partnerships分类
医药卫生引用本文复制引用
袁杰林,梁艺,张景昌,黄学成,韦炜,潘波..医联体模式下胸痛中心区域协同救治体系建设对急性ST段抬高型心肌梗死患者的疗效和预后的影响[J].内科,2023,18(6):513-517,5.基金项目
广西南宁市科学研究与技术开发计划项目(重点研发计划项目)(20183041-4) （重点研发计划项目）
