谢伟, 袁争百, 苏振琪, 韩宏华, 陈大顺. 急性ST段抬高型心肌梗死经皮冠状动脉介入开通闭塞血管时间的影响因素[J]. 蚌埠医学院学报, 2015, 40(3): 372-374. DOI: 10.13898/j.cnki.issn.1000-2200.2015.03.026
    引用本文: 谢伟, 袁争百, 苏振琪, 韩宏华, 陈大顺. 急性ST段抬高型心肌梗死经皮冠状动脉介入开通闭塞血管时间的影响因素[J]. 蚌埠医学院学报, 2015, 40(3): 372-374. DOI: 10.13898/j.cnki.issn.1000-2200.2015.03.026
    XIE Wei, YUAN Zheng-bai, SU Zhen-qi, HAN Hong-hua, CHEN Da-shun. The influence factors of symptom-to-balloon time during percutaneous coronary intervention in 47 myocardial infarction patients with ST-segment elevation[J]. Journal of Bengbu Medical College, 2015, 40(3): 372-374. DOI: 10.13898/j.cnki.issn.1000-2200.2015.03.026
    Citation: XIE Wei, YUAN Zheng-bai, SU Zhen-qi, HAN Hong-hua, CHEN Da-shun. The influence factors of symptom-to-balloon time during percutaneous coronary intervention in 47 myocardial infarction patients with ST-segment elevation[J]. Journal of Bengbu Medical College, 2015, 40(3): 372-374. DOI: 10.13898/j.cnki.issn.1000-2200.2015.03.026

    急性ST段抬高型心肌梗死经皮冠状动脉介入开通闭塞血管时间的影响因素

    The influence factors of symptom-to-balloon time during percutaneous coronary intervention in 47 myocardial infarction patients with ST-segment elevation

    • 摘要: 目的:探讨急性ST段抬高型心肌梗死(STEMI)患者症状发作至急诊经皮冠状动脉介入术(PCI)开通闭塞血管恢复再灌注时间的影响因素。方法:将急诊行PCI治疗的47例急性STEMI患者分成A组(将症状归于心肌梗死者)和B组(未将症状归于心肌梗死者);C组(采用临床路径组)和D组(非临床路径组)。比较A、B组症状发作至就诊时间、是否采用急救车系统入院、就诊至沟通行PCI时间、沟通至签字时间、门诊至球囊扩张时间、PCI时间;比较C、D组就诊至沟通时间、沟通至签字时间、门诊至球囊扩张时间、PCI时间、转运至导管室时间。结果:与B组比较,A组症状发作至就诊时间、门诊至球囊扩张时间均缩短(P<0.01和P<0.05),采用急救车系统入院比例高(P<0.01),而2组沟通至签字时间和PCI时间差异均无统计学意义(P>0.05)。 与D组比较,C组入院至沟通时间、沟通至签字时间、转运时间和门诊至球囊扩张时间均明显缩短(P<0.01),而2组PCI时间和入院至沟通时间差异均无统计学意义(P>0.05)。结论:将症状归于心肌梗死可以明显缩短院前延迟及门诊至球囊扩张时间;临床路径的实施可以缩短门诊至球囊扩张时间;与患者沟通占门诊至球囊扩张时间比例较长,影响门诊至球囊扩张时间。

       

      Abstract: Objective:To analyze the influence factors of symptom-to-balloon time during percutaneous coronary intervention(PCI) in myocardial infarction patients with ST-segment elevation.Methods:Data of 47 patients with ST-segment elevation myocardial infarction who received primary PCI during October 2012 to February 2014 were analyzed.All these patients were divided into group A(attributed the symptoms to angina pectoris) and group B(not attributed the symptoms to angina pectoris);group C(clinical pathway group) and D group(not clinical pathway group).The symptoms to visit time,whether to use the emergency service system,communication time,communication to signature time,clinic to balloon time,PCI operation time,transfer to catheter room time were compared between group A and B;the time for communication,communication to signature time,clinic to balloon time,PCI operation time,transfer to catheter room time were compared between group C and D.Results:Compared with group B,the symptoms to treatment time,door to balloon time in group A were shortened(P<0.01 and P<0.05),the proportion of admission through emergency service system were higher(P<0.01),no differences between the communication to signature time and PCI time(P>0.05).Compared with group D,in group C,the admission to communication time,communication to signature time,transport time,door to balloon time were shortened(P<0.01),and no difference in PCI time,admission to communication time(P>0.05).Conclusions:Attributed the symptoms to angina pectoris can significantly shorten pre-hospital delay and balloon time.The implementation of clinical pathway can shorten door to balloon time.If the ratio of communication time in door to balloon time was long,it will affect door to balloon time.

       

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