中国数字医学
中國數字醫學
중국수자의학
CHINA DIGITAL MEDICINE
2015年
9期
33-35
,共3页
张金霞%张妮%向定成龚志华%肖华%段天兵%龙浏成
張金霞%張妮%嚮定成龔誌華%肖華%段天兵%龍瀏成
장금하%장니%향정성공지화%초화%단천병%룡류성
心肌梗死/急性%再灌注时间%心力衰竭%胸痛中心
心肌梗死/急性%再灌註時間%心力衰竭%胸痛中心
심기경사/급성%재관주시간%심력쇠갈%흉통중심
acute myocardial infarction%reperfusion time%cardia failure%chest pain center
目的:分析胸痛中心建设对行直接PCI术的急性ST段抬高型心肌梗死(ST-segment elevated acute myocardial infarction,STEMI)患者再灌注时间及院内心力衰竭及死亡率的影响。方法:研究纳入658例行直接经皮冠状动脉介入治疗(primary percutaneous coronary intervention,PPCI)的STEMI患者,比较胸痛中心成立前后行PPCI术的STEMI患者再灌注时间及院内心力衰竭和死亡率的变化。结果:医院胸痛中心成立后,行PPCI术的STEMI患者门-球(door-to-ballon,D-to-B)时间显著缩短(P<0.05),首次医疗接触到球囊扩张(first medical contact to ballon,FMC-to-B)时间及发病到球囊扩张(symptom-to-ballon,S-to-B)时间均呈缩短趋势但未达到显著统计学意义(P>0.05),院内心力衰竭及死亡率无显著差异(P>0.05)。结论:胸痛中心成立显著缩短STEMI患者D-to-B时间,但尚未能明显缩短S-to-B和FMC-to-B时间及改善院内近期预后。胸痛中心应以缩短S-to-B时间,改善STEMI患者预后为终极目标。
目的:分析胸痛中心建設對行直接PCI術的急性ST段抬高型心肌梗死(ST-segment elevated acute myocardial infarction,STEMI)患者再灌註時間及院內心力衰竭及死亡率的影響。方法:研究納入658例行直接經皮冠狀動脈介入治療(primary percutaneous coronary intervention,PPCI)的STEMI患者,比較胸痛中心成立前後行PPCI術的STEMI患者再灌註時間及院內心力衰竭和死亡率的變化。結果:醫院胸痛中心成立後,行PPCI術的STEMI患者門-毬(door-to-ballon,D-to-B)時間顯著縮短(P<0.05),首次醫療接觸到毬囊擴張(first medical contact to ballon,FMC-to-B)時間及髮病到毬囊擴張(symptom-to-ballon,S-to-B)時間均呈縮短趨勢但未達到顯著統計學意義(P>0.05),院內心力衰竭及死亡率無顯著差異(P>0.05)。結論:胸痛中心成立顯著縮短STEMI患者D-to-B時間,但尚未能明顯縮短S-to-B和FMC-to-B時間及改善院內近期預後。胸痛中心應以縮短S-to-B時間,改善STEMI患者預後為終極目標。
목적:분석흉통중심건설대행직접PCI술적급성ST단태고형심기경사(ST-segment elevated acute myocardial infarction,STEMI)환자재관주시간급원내심력쇠갈급사망솔적영향。방법:연구납입658례행직접경피관상동맥개입치료(primary percutaneous coronary intervention,PPCI)적STEMI환자,비교흉통중심성립전후행PPCI술적STEMI환자재관주시간급원내심력쇠갈화사망솔적변화。결과:의원흉통중심성립후,행PPCI술적STEMI환자문-구(door-to-ballon,D-to-B)시간현저축단(P<0.05),수차의료접촉도구낭확장(first medical contact to ballon,FMC-to-B)시간급발병도구낭확장(symptom-to-ballon,S-to-B)시간균정축단추세단미체도현저통계학의의(P>0.05),원내심력쇠갈급사망솔무현저차이(P>0.05)。결론:흉통중심성립현저축단STEMI환자D-to-B시간,단상미능명현축단S-to-B화FMC-to-B시간급개선원내근기예후。흉통중심응이축단S-to-B시간,개선STEMI환자예후위종겁목표。
Objective: This study attempt to investigate the impact of construction of Chest Pain Center on reperfusion time and the incidences of heart failure and mortality in-hospital in the patients with ST-segment elevated acute myocardial infarction (STEMI) who underwent primary percutaneous coronary intervention (PPCI). Methods: Totally 658 STEMI patients who underwent PPCI were enrolled. The reperfusion time, incidences of in-hospital heart failure and mortality were compared before and after the establishment of Chest Pain Center. Results: Following the establishment of chest pain center, the door-to-ballon time (D-to-B) was significantly shorten (P<0.05), while first medical contact to ballon time (FMC-to-B) and symptom-to-ballon time(S-to-B) time showed a trend of decline without a statistically significant (P>0.05). The incidences of in-hospital heart failure and mortality showed no significantly difference (P>0.05). Conclusions: Following the construction of our chest pain center, D-to-B time was shortened significantly. However, S-to-B time and FMC-to-B time showed not decreased significantly, and short-term prognosis showed no improvement significantly either. So, to shorten the S-to-B time and to improve the prognosis of the STEMI patients should be the ultimate goals of the construction of chest pain center.