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|本期目录/Table of Contents|

采用急救网络绿色通道模式救治急性心肌梗死患者的效果(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2012年第3期
页码:
374-376
栏目:
临床研究
出版日期:
2012-06-25

文章信息/Info

Title:
A new approach of green-emergency net and track in rescuing patients with ST-elevated infarction
作者:
任 晖; 祝 鹏; 李 静; 巩 洁; 袁 博; 刘胜强; 张军康
(安康市中心医院心内科，陕西 安康 725000)
Author(s):
REN Hui;  ZHU Peng;  LI Jing;  GONG Jie;  YUAN Bo;  LIU Sheng-Qiiang;  ZHANG Jun-kang
(1Department of Cardiology, Ankang Central Hospital, Ankang 725000, Shaanxi, China)
关键词:
心肌梗死; 急性; 进门至球囊扩张时间; 模式
Keywords:
ST-elevated myocardial infarction;  door-to-balloon time;  prognosis
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的:探讨急性ST段抬高型心肌梗死(ST elevated myocardil infaction，STEMI)患者采用急救网络绿色通道救治模式的可行性及效果。方法： 对2008 年12月～2010年12月66例STEMI患者(新型模式组)采用新型急救网络绿色通道模式救治,另选取2006年11月～2008 年11月传统模式救治STEMI 42例(传统模式组),观察两组患者平均进门-球囊扩张时间(door to balloon,D2B)有无显著差异及术后3～6个月心脏不良事件（MACE）的发生情况。结果： 两组患者D2B在新型模式组为（88±11） min，传统模式组为（138±12） min，两组比较有统计学意义(P<0.01)；两组患者随访MACE发生情况（6% vs. 19%）相比有统计学意义（P<0.05）。结论： 采用急救网络及新型绿色通道救治模式，可明显缩短D2B，减少MACE的发生，改善患者的预后。
Abstract:
AIM:To study the feasibility and effect of a new approach of green-emergency net and track in rescuing patients with ST-elevated myocardil infarction (STEMI). METHODS: Sixty-six STEMI patients (Group A) were treated with the new approach and 42 STEMI patients were treated traditionally as the control group (Group B). Door-to-balloon (D2B) time, occurrence of major adverse cardiac events (MACE) and influence on prognosis after 3-6 months from operation were compared between groups. RESULTS: Compared with group B, the median D2B time in group A was significantly shortened ［(88±11) min vs.(138±12) min; P<0.01］ and occurrence of MACE also significantly decreased (6% vs. 19%). CONCLUSION: The new approach of green-emergency net and track in rescuing STEMI patients significantly reduces the D2B time and occurrence of MACE, thus remarkably improving the prognosis.

参考文献/References

[1]胡大一,史旭波.胸痛中心的概念和意义[J].中国医刊,2003,38(1):2-3.

[2]Keeley EC,Boura JA,Grines CL.Primary angiop lasty versus intravenous thrombolytic therapy for acute myocardial infarction:a quantitative review of 23 randomized trials[J].Lancet,2003,361(9351):13-20.

[3]Canadian Cardiovascular Society,American Academy of Family Physicians,American College of Cardiology,et al.2007 focused update of the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction:a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines[J].J Am Coll Cardiol,2008,51(2):210-247.

[4]刘书山,胡大一,杨进刚,等.节假日对ST段抬高心肌梗死院内再灌注延误的影响[J].中国介入心脏病学杂志,2008, 16(1):91-94.

[5]Dalby M,Bouzamondo A,Lechat P,et al.Transfer for primary angioplasty versus immediate thrombolysis in acute myocardial infarction-A meta-analysis[J].Circulation,2003,108(15):1809-1814.

备注/Memo

备注/Memo:
收稿日期: 2012-01-03.作者简介：任晖，副主任医师 Email:renhui@sina.com
更新日期/Last Update: 2012-05-02