湖北科技学院学报（医学版）2026，Vol.40Issue(3)：234-238,5.DOI:10.16751/j.cnki.2095-4646.2025111106
咸宁地区胸痛救治单元建设对急性ST段抬高型心肌梗死患者救治时间及预后的影响
The Impact of the Establishment of Chest Pain Treatment Units in the Xianning Region on Treatment Timeliness and Prognosis in Patients with Acute ST-Segment Elevation Myocardial Infarction
摘要
Abstract
Objective To investigate the impact of the establishment of Chest Pain Care Units(CPCUs)in the Xianning region on treatment timelines and clinical outcomes for patients with acute ST-segment elevation myocardial infarction(STEMI)who were transferred and underwent primary percutaneous coronary intervention(PPCI).Methods A retrospective cohort study was conducted by compiling and analyzing data from the Chest Pain Center database at Xianning Central Hospital,covering patients diagnosed with STEMI and treated with PPCI between January 2021 and December 2023.Patients whose initial point of medical contact(first-contact hospital)was a CPCU and who subsequently underwent PPCI were assigned to the CPCU Group(n=280);conversely,patients admitted during the same period whose initial point of medical contact was a non-CPCU facility and who underwent PPCI were assigned to the Non-CPCU Group(n=160).The two groups were compared and analyzed regarding their baseline characteristics,symptom-to-first medical contact time(S2FMC),door-in-door-out time(DIDO),door-to-wire time(D2W),major intraoperative complications,length of hospital stay,hospitalization costs,and the inci-dence of major adverse cardiovascular events(MACE)within 12 months post-discharge.Results In the STEMI patients who received PPCI and were first admitted to the chest pain unit,the results were measured in S2FMC[109.00(60.50,214.00)min vs.136.00(62.75,338.75)min]and DIDO[60.50(45.25,76.75)min vs.82.50(64.00,115.00)min],D2W[49.00(37.25,62.00)min vs.68.00(55.00,83.00)min],hospitalization cost[3.08(2.69,3.54)ten thousand yuan vs.3.21(2.85,3.71)ten thousand yuan]and MACE prescription within 12 months after discharge The facial indexes were all lower than those of the non-chest pain unit group,and the difference was statisti-cally significant(all P＜0.05).Conclusion The construction of chest pain unit can effectively shorten the treatment time,reduce hospitali-zation costs,lower the incidence of cardiovascular adverse events within 12 months post-discharge,and improve the prognosis of patients.关键词
胸痛救治单元/急性ST段抬高型心肌梗死/直接经皮冠状动脉介入治疗/心血管不良事件Key words
Chest pain unit/Acute ST-elevation myocardial infarction/Primary percutaneous coronary intervention/Major adverse cardiovascular events分类
医药卫生引用本文复制引用
王翔,李宾,熊小雪,吴燚,曾执..咸宁地区胸痛救治单元建设对急性ST段抬高型心肌梗死患者救治时间及预后的影响[J].湖北科技学院学报（医学版）,2026,40(3):234-238,5.基金项目
湖北省卫生健康科技项目(WJ2025M24) （WJ2025M24）
咸宁市中心医院项目(2025XYB008) （2025XYB008）
