入院前电话通知对中老年ST段抬高心肌梗死患者进急诊室至球囊扩张时间的影响
입원전전화통지대중노년ST단태고심기경사환자진급진실지구낭확장시간적영향
The effect of prehospital 12-lead electrocardiogram and transtelephonic notifiication on door-to-balloon time in patients with ST-segment elevation myocardial infarction
  • 万方数据
    中华老年医学杂志 중화노년의학잡지
    Chinese Journal of Geriatrics
    2009年 6期 453-456 ,共4页

    程姝娟%颜红兵%王健%赵汉军%李世英%李庆祥%郑文斌%宋莉%王新%迟云鹏%吴铮%马芹%徐方兴

    정주연%안홍병%왕건%조한군%리세영%리경상%정문빈%송리%왕신%지운붕%오쟁%마근%서방흥

    心电描记术%心肌梗死%冠状血管造影术 心電描記術%心肌梗死%冠狀血管造影術
    심전묘기술%심기경사%관상혈관조영술
    Electrocardiogram%Myocardial infarction%Coronory angioplasty
    目的 探讨入院前心电图采集和电话通知对ST段抬高心肌梗死(STEMI)患者进入急诊室至球囊扩张时间[进门至球囊扩张(door to balloon,D2B)时间]的影响. 方法 对2006年1月至2007年12月就诊于北京安贞医院抢救中心并接受直接经皮冠状动脉介入治疗(PCI)的STEMI患者的临床资料进行分析.将患者分为3组:无入院前心电图(无心电图)组、有入院前心电图(有心电图)组和依据入院前心电图进行电话通知(电话通知)组.主要分析指标为D2B时间.次要分析指标为住院期间患者病死率. 结果 纳入研究患者402例,其中无心电图组137例(34.1%),有心电图组176例(43.8%),电话通知组89例(22.1%).3组患者年龄、性别、既往病史及心肌梗死部位比较,差异无统计学意义(P0.05).与无心电图组比较,有心电图组和电话通知组患者D2B时间缩短,3组分别为113 min、96 min和86 min(均P<0.01).3组患者住院期间病死率[分别为4例(2.9%)、4例(2.3%)和3例(2.2%)]比较,差异无统计学意义(均P0.05). 结论 入院前心电图采集和早期电话通知能缩短STEMI患者D2B时间,使更多的患者D2B时间<90 min.入院前与医院建立电话联系可缩短再灌注时间.
    목적 탐토입원전심전도채집화전화통지대ST단태고심기경사(STEMI)환자진입급진실지구낭확장시간[진문지구낭확장(door to balloon,D2B)시간]적영향. 방법 대2006년1월지2007년12월취진우북경안정의원창구중심병접수직접경피관상동맥개입치료(PCI)적STEMI환자적림상자료진행분석.장환자분위3조:무입원전심전도(무심전도)조、유입원전심전도(유심전도)조화의거입원전심전도진행전화통지(전화통지)조.주요분석지표위D2B시간.차요분석지표위주원기간환자병사솔. 결과 납입연구환자402례,기중무심전도조137례(34.1%),유심전도조176례(43.8%),전화통지조89례(22.1%).3조환자년령、성별、기왕병사급심기경사부위비교,차이무통계학의의(P0.05).여무심전도조비교,유심전도조화전화통지조환자D2B시간축단,3조분별위113 min、96 min화86 min(균P<0.01).3조환자주원기간병사솔[분별위4례(2.9%)、4례(2.3%)화3례(2.2%)]비교,차이무통계학의의(균P0.05). 결론 입원전심전도채집화조기전화통지능축단STEMI환자D2B시간,사경다적환자D2B시간<90 min.입원전여의원건립전화련계가축단재관주시간.
    Objective To explore the effect of prehospital 12-lead electrocardiogram (ECG) and transtelephonic notification on door-to-balloon time in patients with ST-segment elevation myocardial infarction (STEMI). Methods Four hundred and two patients with STEMI who underwent primary PCI from January 2006 to December 2007 in Beijng Anzhen Hospital were analyzed. They were divided into 3 groups: 137 patients without prehospital ECG (group A), 176 patients with prehospital ECG (group B) and 89 patients with prehospital ECG and early transtelephonie notification (group C). Door-to-balloon time and in-hospital mortality were compared among the groups. Results There were no significant differences in age, sex, past medical history and infarcted area among three groups. Compared with group A, patients in group B and group C had much shorter door-to-balloon time (96 minutes and 86 minutes vs. 113 minntes in group A, all P<0. 01). No difference was found in in-hospital mortality among three groups (2. 9% vs. 2.3% vs. 2. 2%, P> 0. 05). Conclusions Prehospital ECG and early transtelephonic notification can significantly shorten door-to-balloon time in patients with STEMI. Coordinated system including prehospital ECG and transtelephonie notification is proved to be feasible and effective.
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