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|本期目录/Table of Contents|

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]

期数:
2017年第5期
页码:
567-569,578
栏目:
临床研究
出版日期:
2017-03-25

文章信息/Info

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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备注/Memo

备注/Memo:
收稿日期:2016-09-26.
基金项目:湛江市科技计划项目(2014A01025)
通讯作者:李虎,副主任医师,主要从事心脏疾病介入诊治研究 Email:lihu@medmail.com.cn
作者简介:欧东波,主治医师,博士 Email:ou_1680@163.com
更新日期/Last Update: 2017-04-20