摘要
目的分析急性心肌梗死(AMI)患者及时给予优化急诊诊治流程处理在急诊冠脉介入治疗中的作用。方法选取2014年12月至2016年12月成都医学院第一附属医院急诊科收治的94例AMI患者为研究对象,随机分为试验组和对照组,每组各47例。观察并比较两组AMI患者平均出入急诊室时间、就诊至球囊扩张时间、总住院天数等。结果试验组出入急诊室时间、急诊球囊扩张时间和平均住院时间均低于对照组,差异有统计学意义(P<0.05);且试验组患者抢救成功率(97.9%)高于对照组(93.6%),死亡率(2.1%)和复发率(2.1%)均低于对照组(6.4%、8.5%),差异有统计学意义(P<0.05)。结论及时、有效地给予急诊诊治流程对于AMI的治疗极为重要,可有效降低死亡率,使患者及时得到救治,在急诊冠脉介入治疗中具有极为重要的作用。
Objective To study the effect of optimized emergency procedure given to patients with acute myocardial infarction（AMI）in the emergency percutaneous coronary intervention（PCI）.Methods 94 AMI patients treated in The First Affiliated Hospital of Chengdu Medical College from December of 2014 to December of 2016 were selected in the study and divided into the experiment group and the control group,and each group consisted of47 cases.Then the data including the average time of emergency visit,the door-to-balloon time and the length of hospital stay were observed and compared between the two groups.Results The data including the average time of emergency visit,the door-to-balloon time and the length of hospital stay were significantly lower in the experiment group than in the control group（P〈0.05）.The emergency success rate of the experiment（97.9%） was significantly higher than that of the control group（93.6%）（P〈0.05）,while the mortality of the experiment group（2.1%）was significantly lower than that of the control group（6.4%）（P〈0.05）and the recurrence rate of the experiment group（2.1%）was significantly lower than that of the control group（8.5%）（P〈0.05）.Conclusion It is vital to give the timely and effective emergency procedure in the treatment of AMI,which can reduce the mortality effectively.The timely emergency treatment is also crucial in the emergency PCI.
出处
《成都医学院学报》
CAS
2017年第3期295-297,301,共4页
Journal of Chengdu Medical College
基金
国家自然科学基金项目(No:81400289)
关键词
优化急诊诊治流程
急性心肌梗死
冠脉介入
Optimized emergency procedure
Acute myocardial infarction
Coronary intervention
