【摘要】 目的:分析院前急救转运体系在救治急性ST段抬高型心肌梗死(STEMI)患者中再灌注时间与结果的影响,进一步明确在胸痛中心协同救治急性STEMI患者模式下院前急救转运体系的重要性。方法:回顾性分析2019年1月1日至2020年12月31广州市增城区人民医院胸痛中心救治的急诊行直接经皮冠状动脉介入(PCI)治疗的急性STEMI患者的资料。随机抽取经院前急救转运体系转运的患者和自行来院的患者各117例为观察组和对照组,比较两组的再灌注时间与预后。结果:与对照组比较,观察组可明显缩短急性STEM患者首次医疗接触至球囊扩张(FMC-to-B)时间及进门-球囊时间(D-to-B),可明显提高急救成功率,降低院内1周病死率和心力衰竭发生率(P均<0.05)。结论:在胸痛中心协同救治急性STEMI患者模式下,院前急救转运体系的应用,可缩短急性STEM患者FMC-to-B、D-to-B,可提高急救成功率,降低院内1周病死率及心力衰竭发生率。值得大力宣传、推广、普及急性胸痛患者呼叫及使用院前急救转运系统。更多还原

【Abstract】 Objective:To analyze the reperfusion time and prognosis of pre-hospital emergency transport system in treatment of patients with acute ST-segment elevation myocardial infarction(STEMI),and to further clarify the importance of the pre-hospital emergency transport system of collaborative treatment of patients with acute STEMI in chest pain center. Methods:The data of patients with acute STEMI treated by acute percutaneous coronary intervention(PCI) in the emergency department and the Chest Pain Center of the People.s Hospital of Zengcheng District from Jan2019 to Dec2020 were retrospectively analyzed. 117 cases transported by the pre-hospital emergency transport system and came to the hospital by themselveswere randomly selected as the observation group and the control group respectively,and the reperfusion time and prognosis of the two groups were compared. Results:Compared with the control group,the time from the first medical contact to balloon(FMC-to-B),door to balloon(D-to-B),the mortality rate during one week of hospitalizationand the incidence of heart failure weresignificantly lower,but the success rate of first aid were significantly higher in observation group(all P<0.05). Conclusion:Under the mode of coordinated treatment of patients with acute STEMI in chest pain center,the application of the pre-hospital emergency transport system can shorten the time of FMCto-B and D-to-B can improve the success rate of first aid,reduce the one-week mortality rate in the hospital,and reduce the incidence of heart failure. Therefore,it is worth to vigorously promote and popularize the call of patients with acute chest pain and the use of the pre-hospital emergency transport system.更多还原