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Title:: Effects of doctor-to-patient PCI and patient-to-doctor PCI on treatment of acute myocardial infarction

作者:: 欧东波¹; 李虎¹; 刘迎雪²; 黄金燕¹; 王逵¹; 薛旺¹; 朱玉峰¹; 王琦¹; 李群燕¹; 刘玉¹; （解放军第422医院：1.心血管内科，2.门诊部，广东湛江 524005）

Author(s):: OU Dong-bo¹; LI Hu¹; LIU Ying-xue²; HUANG Jin-yan¹; WANG Kui¹; XUE Wang¹; ZHU Yu-feng¹; WANG Qi¹; LI Qun-yan¹; LIU Yu¹; (1.Department of Cardiology, 2.Department of Outpatients, PLA 422 Hospital, Zhanjiang 524005, Guangdong, China)

关键词:: 心肌梗死; 急性; 转运; 决定介入至导管室时间、决定介入至球囊扩张时间; 完全血运重建率; 主要不良心血管事件

Keywords:: acute myocardial infarction; Transport; Determine intervention-catheter room time; Determine intervention-balloon dilation time; complete revascularization rate; main adverse cardiovascular events

分类号:: R541.4

DOI:: -

文献标识码:: A

摘要:: 目的探讨转运经皮冠状动脉介入(PCI)治疗与外援PCI对急性心肌梗死（AMI）救治的影响。方法收集经外援PCI方式（输送医生）救治的AMI患者50名以及经转运PCI方式（转运患者）救治的AMI患者50名的资料。比较两种救治方式对于决定介入至导管室(determine intervention to catheter room，DI-to-C)时间、决定介入至球囊扩张(determine intervention to balloon dilation，DI-to-B)时间、完全血运重建率、急性期住院病死率及随访6个月主要不良心血管事件(MACE)发生率的影响。结果两组总的转运路程为35~100 km，车程约40~90 min。外援PCI组DI-to-C、DI-to-B时间与转运PCI组无显著差别，但外援PCI组的完全血运重建率、急性期住院并发症率好于转运PCI组（P<0.05），两组的随访6个月的MACE发生率也有显著差异（P<0.05）。结论跟目前成熟的转运PCI相比，外援PCI无法缩短DI-to-C、DI-to-B时间，但在提高血运重建率、降低急性期住院并发症、改善预后方面有积极的意义。

Abstract:: AIM To compare the effects of doctor-to-patient PCI and patient-to-doctor PCI on the treatment of acute myocardial infarction (AMI). METHODS Fifty AMI cases treated by doctor-to-patient PCI mode and 50 AMI cases treated by patient-to-doctor PCI mode were respectively randomly collected. Time prior to intervention of catheter time, time prior to intervention of balloon dilation, complete revascularization rate, hospital mortality in the acute phase and main adverse cardiovascular events (MACE) in 6 months between the 2 modes were compared. RESULTS The total transportation distance of both groups was 35-100 km, about 40-90 min ride. Between the two groups, there was no significant difference in the time prior to intervention of catheter time and the time prior to intervention of balloon dilation (P>0.05). However, the rate of complete revascularization and the incidence of complications in the acute phase in doctor-to-patient PCI group were better than those in patient-to-doctor PCI group (P<0.05). The two groups were followed up for 6 months and no significant difference was found in MACE between the two groups. CONCLUSION Compared with patient-to-doctor PCI, doctor-to-patient PCI does not shorten the time prior to intervention of catheter and the time prior to intervention of balloon dilation. But doctor-to-patient PCI produces some positive effect in improving the rate of blood flow reconstruction and reducing hospital complications in the acute phase.

参考文献/References

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外援PCI与转运PCI对于急性心肌梗死救治的影响

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

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