中国急救医学
中國急救醫學
중국급구의학
Chinese Journal of Critical Care Medicine
2015年
10期
959-961
,共3页
罗曚悦%游斌权%陆士奇%刘如璐
囉曚悅%遊斌權%陸士奇%劉如璐
라몽열%유빈권%륙사기%류여로
医疗优先分级调派系统(MPDS)%急性心肌梗死%出车及时性%再次转诊%门-球囊扩张时间
醫療優先分級調派繫統(MPDS)%急性心肌梗死%齣車及時性%再次轉診%門-毬囊擴張時間
의료우선분급조파계통(MPDS)%급성심기경사%출차급시성%재차전진%문-구낭확장시간
Medical priority dispatch system (MPDS)%Acute myocardial infartction (AMI)%The timeliness of ambulance on the run%Re-transfer rate%Door-to-balloon time
目的：比较苏州应用医疗优先分级调派系统（ MPDS）前后急性心肌梗死患者院前救治的差异，探索急性心肌梗死患者院前急救的优先模式。方法将2008－01～2014－01苏州急救中心参与急救运送的急性心肌梗死患者共641例作为观察对象，根据使用MPDS前后分为MPDS组389例（使用MPDS后）与对照组252例（使用MPDS前）进行相关数据分析，比较出车及时性、再次转诊比例、门－球囊扩张（ D－to－B）时间、FMC时间等。结果 MPDS组实施PCI手术的D－to－B时间（96．55±9．42）min，显著低于对照组的（118．57±10．54）min（P＜0．05）。MPDS组FMC平均时间为（121．88±11．42） min，显著低于对照组的（164．13±19．55） min（ P＜0.01）。再次转诊例数MPDS组2例，明显小于对照组24例（ P＜0．01）。结论应用MPDS进行急性心肌梗死患者院前急救可以显著缩短医疗救助时间，改善预后。
目的：比較囌州應用醫療優先分級調派繫統（ MPDS）前後急性心肌梗死患者院前救治的差異，探索急性心肌梗死患者院前急救的優先模式。方法將2008－01～2014－01囌州急救中心參與急救運送的急性心肌梗死患者共641例作為觀察對象，根據使用MPDS前後分為MPDS組389例（使用MPDS後）與對照組252例（使用MPDS前）進行相關數據分析，比較齣車及時性、再次轉診比例、門－毬囊擴張（ D－to－B）時間、FMC時間等。結果 MPDS組實施PCI手術的D－to－B時間（96．55±9．42）min，顯著低于對照組的（118．57±10．54）min（P＜0．05）。MPDS組FMC平均時間為（121．88±11．42） min，顯著低于對照組的（164．13±19．55） min（ P＜0.01）。再次轉診例數MPDS組2例，明顯小于對照組24例（ P＜0．01）。結論應用MPDS進行急性心肌梗死患者院前急救可以顯著縮短醫療救助時間，改善預後。
목적：비교소주응용의료우선분급조파계통（ MPDS）전후급성심기경사환자원전구치적차이，탐색급성심기경사환자원전급구적우선모식。방법장2008－01～2014－01소주급구중심삼여급구운송적급성심기경사환자공641례작위관찰대상，근거사용MPDS전후분위MPDS조389례（사용MPDS후）여대조조252례（사용MPDS전）진행상관수거분석，비교출차급시성、재차전진비례、문－구낭확장（ D－to－B）시간、FMC시간등。결과 MPDS조실시PCI수술적D－to－B시간（96．55±9．42）min，현저저우대조조적（118．57±10．54）min（P＜0．05）。MPDS조FMC평균시간위（121．88±11．42） min，현저저우대조조적（164．13±19．55） min（ P＜0.01）。재차전진례수MPDS조2례，명현소우대조조24례（ P＜0．01）。결론응용MPDS진행급성심기경사환자원전급구가이현저축단의료구조시간，개선예후。
Objective The essay is going to discuss the difference of pre -hospital care to acute myocardial infarction (AMI) patients by Suzhou Emergency Center before and after the Medical Priority Dispatch System ( MPDS ) was implemented , and the prioritized emergency response to such patients.Methods Six hundred and forty-one AMI patients, who Suzhou Emergency Center had been involved in their pre -hospital treatment and transportation from January 2008 to January 2014 , were picked out as the objective to study .These patients were divided into MPDS group (389 cases, after Suzhou Emergency Center implemented MPDS ), and Comparison group (252 cases, before MPDS was implemented ) .The study compared the timeliness of ambulance on the run , re-transfer rate , door-to-balloon time, FMC time, etc.Results The average D -to-B time in PCI operations for MPDS group is (96.55 ±9.42)min, while that for the Comparison group is (118.57 ±10.54)min(P<0.01).Moreover, the average FMC time for MPDS group is (121.88 ±11.42)min, while that for the Comparison group is (164.13 ±19.55)min (P<0.01), which is obviously statistically significant. Two re-transfer cases of MPDS group , comparing 24 re-transfer cases in Comparison group , with P<0.01, is also statistically significant .Conclusion By providing pre-hospital care to AMI patients with MPDS, it can apparently reduce the time of patient care , and improve patients outcome .
