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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。
Objective: To investigate the feasibility and effectiveness of first aid network green channel treatment in ST elevation acute myocardial infarction (STEMI). Methods: Sixty-six patients with STEMI (new model group) were treated with the new first-aid network green channel mode from December 2008 to December 2010, and another 42 cases of STEMI were treated by traditional model from November 2006 to November 2008 Group). The difference between the mean door-to-balloon (D2B) and the incidence of cardiac adverse events (MACE) at 3 to 6 months after operation was observed. Results: The D2B in the two groups was (88 ± 11) min in the new model group and (138 ± 12) min in the traditional model group, with significant difference between the two groups (P <0.01) 6% vs. 19%) (P <0.05). Conclusion: The first aid network and the new green channel treatment mode can significantly shorten the D2B, reduce the occurrence of MACE and improve the prognosis of patients.