【摘要】 目的分析急性ST段抬高心肌梗死(STEMI)患者应用临床路径(CP)后对门-球囊扩张(D-to-B)时间的影响。方法回顾性分析了2007年1月—2011年6月经我院急诊科救治的、发病时间≤12h、并行急诊冠脉介入治疗的STEMI患者343例,分为CP组和非CP组,分别记录如下时间:院前延迟、发病-治疗开始时间以及D-to-B时间。结果 204例CP组及139例非CP组患者D-to-B分别为(88.69±21.06)min、(98.13±28.63)min(P<0.05)。结论应用CP可明显缩短D-to-B,使急性STEMI患者获益更大。更多还原

【Abstract】 Objective To investigate the impact of clinical pathway(CP)on door to balloon time in patients with acute ST-segment elevated myocardial infarction(STEMI).Methods To analyze 343 patients with STEMI who received primary percutaneous coronary intervention within 12 h after symptom onset from Jan 2007 to Dec 2010.The data were collected:prehospital delay,onset to treatment and door to balloon time.Results The following median times of door to balloon time were recorded:CP group was(88.69±21.06)min and non-CP group was(98.13±28.63)min(P<0.05).Conclusion CP could significantly reduced door to balloon time.更多还原