论文部分内容阅读
目的探讨在基层医院中建设急性心肌梗死急救绿色通道的价值。方法选择2006年6月至2010年11月开展急诊PCI以来,由传统模式接诊,并接受急诊PCI术的急性心肌梗死患者48例作为传统模式组;2010年12月至2012年12月实施急性心肌梗死急救绿色通道后,经绿色通道救治的急性心肌梗死患者54例作为实验组。对比两组急诊PCI术成功率、病死率、门-球时间、住院时间、住院费用、30 d主要心血管事件、左心室射血分数等指标。结果绿色通道组可显著缩短急性心肌梗死患者救治的门-球时间、住院时间,减少住院费用,并可减少30 d主要心血管事件,改善左室射血分数(P<0.05,P<0.01),但在手术成功率、病死率方面无统计学差异(P均>0.05)。结论基层医院可成功开展急性心肌梗死绿色通道,安全、有效地救治急性心肌梗死患者。
Objective To explore the value of establishing emergency green channel for acute myocardial infarction in primary hospitals. Methods From June 2006 to November 2010 to carry out emergency PCI since the traditional pattern of admissions, and received emergency PCI in 48 patients with acute myocardial infarction as the traditional model group; December 2010 to December 2012 implementation of acute 54 cases of acute myocardial infarction treated by the green channel as the experimental group after myocardial infarction first aid green channel. The success rate of PCI, mortality, door-ball time, hospital stay, hospitalization costs, major cardiovascular events at 30 days and left ventricular ejection fraction were compared between the two groups. Results The green channel group could significantly reduce the door - ball time, hospital stay and hospitalization costs in patients with acute myocardial infarction and reduce the major cardiovascular events for 30 days and improve left ventricular ejection fraction (P <0.05, P <0.01) , But there was no significant difference in the success rate and mortality (P> 0.05). Conclusion The grass-roots hospital can successfully carry out the green channel of acute myocardial infarction, safe and effective treatment of patients with acute myocardial infarction.