【摘要】 目的:为缩短急性ST段抬高型心肌梗死(ST–segment elevation myocardial infarction,STEMI)患者急诊行经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)的进门至球囊扩张(door-to-balloon,D-to-B)时间,提高抢救成功率,改善患者预后,提高医疗质量。方法:成立质量改进小组,用品管圈对接受PCI的急性STEMI患者的D-to-B时间进行干预,将品管圈实施前后的D-to-B时间及90 min内D-to-B时间达标率进行对比。结果:品管圈实施后,急性STEMI患者急诊PCI的D-to-B平均时间仅为69.09 min,显著低于品管圈实施前的121.13 min(P<0.001);品管圈实施后,急性STEMI患者急诊PCI的90 min内D-to-B时间达标率为87.04%,显著高于品管圈实施前的47.37%(P<0.001)。结论:应用品管圈对急性STEMI患者急诊PCI的D-to-B各阶段进行科学管理,可降低D-to-B时间,提高90 min内D-to-B时间达标率,有效改进患者预后。更多还原

【Abstract】 Objective:To shorten the D-to-B time of patients with acute STEMI undergoing PCI and improve the success rate of rescue. Methods:Quality control circle was set up to intervene the D-to-B time of STEMI patients undergoing PCI. The D-to-B time before and after the implementation of quality control circle was compared. The rate of D-to-B time reaching the standard within 90 minutes before and after the implementation of quality control circle was compared too. Results: The average D-to-B time of emergency PCI in patients with acute STEMI was only 69.09 minutes after the implementation of quality control circle, which was significantly lower than 121.13 minutes before the implementation of quality control circle(P<0.001). After the implementation of quality control circle, the D-to-B time of patients with acute STEMI undergoing PCI reached 87.04% within 90 minutes, significantly higher than 47.37% before the implementation of quality control circle(P<0.001). Conclusion: Scientific management of D-to-B time in emergency PCI of acute STEMI patients by quality control circle can reduce D-to-B time,improve the rate of D-to-B time reaching the standard within 90 minutes,and effectively promote the prognosis of patients.更多还原