【摘要】 目的分析基于胸痛中心的区域协同救治体系对急性ST段抬高型心肌梗死患者救治与预后的影响。方法以我院2014年1月-2016年6月未实施区域协同救治体系收治的急性ST段抬高型心肌梗死患者中随机抽取42例为参照组,选取2018年1月-2020年6月实施区域协同救治体系收治的急性ST段抬高型心肌梗死患者中随机抽取42例为研究组,对比两组首次医疗接触-球囊扩张(FMC-to-B)、入门-球囊扩张(D-to-B)与发病-球囊扩张(S-to-B)时间;住院时间、主要不良心血管事件、药品费用与医疗总费用。结果研究组FMC-to-B、D-to-B、S-to-B与住院时间均短于参照组(P<0.05);研究组死亡、心力衰竭与心律失常发生率均低于参照组(P<0.05);研究组药品费用与医疗总费用均低于参照组(P<0.05)。结论基于胸痛中心的区域协同救治体系,可对急性ST段抬高型心肌梗死患者进行及时救治,缩短FMC-to-B、D-to-B、S-to-B时间,显著改善患者预后,减少不良事件发生率,值得推广。更多还原

【Abstract】 Objective To analyze the effect of the regional same treatment system based on the chest pain center on the treatment and prognosis of patients with acute ST-segment elevation myocardial infarction. Methods Randomly selected 42 patients with acute ST-segment elevation myocardial infarction from January 2014 to June 2016 in our hospital who were not treated by the regional coordinated treatment system as the reference group, and selected from January 2018 to June 2020 42 patients with acute ST-segment elevation myocardial infarction admitted to the implementation of the regional cooperative treatment system were randomly selected as the study group, and the two groups were compared for the first medical contact-balloon expansion(FMC-to-B)and entry-balloon expansion(D)-to-B) and onset-balloon expansion(S-to-B) time; hospital stay, major adverse cardiovascular events, drug costs and total medical costs. Results FMC-to-B, D-to-B, S-to-B and hospital stay in the study group were shorter than those in the reference group(P<0.05); the rates of death, heart failure and arrhythmia in the study group were lower than those in the reference group Group(P<0.05); the drug cost and total medical cost of the study group were lower than the reference group(P<0.05). Conclusion Based on the regional same treatment system of the chest pain center, patients with acute ST-segment elevation myocardial infarction can be treated in time, shorten the time of FMC-to-B, D-to-B, and S-to-B, and significantly improve the prognosis of patients To reduce the incidence of adverse events, it is worth promoting.更多还原