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徐心霞.胸痛中心模式对急性ST段抬高型心肌梗死患者行PCI术时间节点及近期心脏不良事件的影响[J].中国现代医生,2021,59(27):30-33
胸痛中心模式对急性ST段抬高型心肌梗死患者行PCI术时间节点及近期心脏不良事件的影响
Impacts of chest pain center mode on PCI time node and short-term adverse cardiac events in patients with acute ST-segment elevation myocardial infarction
  
DOI:
中文关键词:  ST段抬高型心肌梗死  经皮冠状动脉介入治疗  胸痛中心  时间节点  心脏不良事件
英文关键词:ST-segment elevation myocardial infarction  Percutaneous coronary intervention  Chest pain center  Time node  Adverse cardiac events
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作者单位
徐心霞 枣庄矿业集团中心医院心内科山东枣庄 277800 
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中文摘要:
      目的 观察胸痛中心模式对急性ST段抬高型心肌梗死患者行PCI术的时间节点及近期心脏不良事件的影响。方法 选取2018 年1 月至2019 年6 月枣庄矿业集团中心医院收治的50例STEMI 患者作为对照组,选取2019 年7 月至2020 年12 月枣庄矿业集团中心医院收治的50例STEMI 患者作为观察组。对照组采用常规模式救治,观察组采用胸痛中心模式救治,比较两组患者各时间节点和PCI术后1 周心脏不良事件发生率。结果 观察组首份心电图完成时间为(3.27±1.28)min、肌钙蛋白I 获得时间(14.86±3.06)min、D-DAPT 时间(32.88±4.76)min、D-H 时间(47.60±2.29)min、D-to-B 时间(63.39±9.25)min,均短于对照组的(4.86±1.05)min、(21.06±5.84)min、(40.84±8.43)min、(51.20±1.51)min、(92.56±30.25)min,差异均有统计学意义(P<0.05)。观察组患者1 周心脏不良事件发生率均明显低于对照组,差异有统计学意义(P<0.05)。结论 胸痛中心模式应用于STEMI 患者,可缩短救治时间,提高PCI 救治率,降低患者心脏不良事件发生率。
英文摘要:
      Objective To observe the impacts of chest pain center mode on the time node of percutaneous coronary intervention(PCI)and short-term adverse cardiac events in patients with acute ST-segment elevation myocardial infarction(STEMI).Methods Patients with STEMI admitted to and treated in The Central Hospital of Zaozhuang Mining Group from January 2018 to June 2019 were selected as the control group(n=50),and those with STEMI admitted to and treated in The Central Hospital of Zaozhuang Mining Group from July 2019 to December 2020 were selected as the observation group(n=50).The control group was treated with conventional mode,while the observation group was treated with chest pain center mode.The incidences of adverse cardiac events at each time node and 1 week after PCI were compared between the two groups of patients.Results In the observation group,the first ECG completion time was(3.27±1.28)min,troponin I detection time was(14.86±3.06)min,the time from entering the emergency department to dual antiplatelet therapy was(32.88±4.76)min,the time from entering the emergency department to liver treatment was(47.60±2.29)min,the time from entering the emergency department to the first balloon dilatation was(63.39±9.25)min,which were all shorter than those of(4.86±1.05)min,(21.06±5.84)min,(40.84±8.43)min,(51.20±1.51)min and(92.56±30.25)min in the control group,respectively,with statistically significant differences(P<0.05).The total incidences of adverse cardiac events within 1 week in patients in the observation group were significantly lower than those in the control group,respectively,with statistically significant differences(P<0.05).Conclusion The application of chest pain center mode in patients with STEMI can shorten the treatment time,improve the PCI treatment rate and reduce the incidence of adverse cardiac events.
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