中华急诊医学杂志
中華急診醫學雜誌
중화급진의학잡지
Chinese Journal of Emergency Medicine
2015年
10期
1155-1159
,共5页
急性ST段抬高性心肌梗死%院前心电图%门-球时间%无线 心电图/远程心电图%实时%远程医疗%远程心电监测%无线/3G%院前诊断
急性ST段抬高性心肌梗死%院前心電圖%門-毬時間%無線 心電圖/遠程心電圖%實時%遠程醫療%遠程心電鑑測%無線/3G%院前診斷
급성ST단태고성심기경사%원전심전도%문-구시간%무선 심전도/원정심전도%실시%원정의료%원정심전감측%무선/3G%원전진단
Acute ST-segment elevation myocardial infarction%Pre-hospital electrocardiogram%Door-to-balloon time%Electrocardiogram/ remote-electrocardiogram%Real-time%Tele-medicine%Remote ECG monitoring%Wireless/3G%Pre-hospital diagnosis
目的 评价12导联心电图远程实时传输系统对进行直接经皮冠状动脉介入治疗的ST段抬高性急性心肌梗死(STEMI)患者门-球时间的影响.方法 2012年2月至2012年7月就诊于广州军区广州总医院胸痛中心的进行直接PCI的STEMI的患者的临床资料进行分析,分为院前传输心电图组(采用12导联心电图远程实时传输系统将患者心电图传输至胸痛中心)和无院前心电图组.主要分析指标:进门至导管室时间、门-球时间.次要分析指标:门-球时间达标率、手术占台率、院内病死率、住院天数.结果 研究期间共入选60例患者,其中院前心电图为35例,无院前心电图为25例,院前心电图可显著缩短进门一球时间(中位数,38 min vs.94 min;P＜0.01),院前心电图组门-球时间低于90 min的达标率显著高于无院前心电图组(94.6％:60％;p=0.001),院前心电图手术占台率明显低于无院前心电图(5.7％vs.40％;P=0.001),住院时间则显著短于无院前心电图组(P＜0.01).2组患者住院期间病死率组间比较差异无统计学意义(P＞0.05).结论 远程实时传输12导联心电图显著缩短STEMI患者门-球时间.
目的 評價12導聯心電圖遠程實時傳輸繫統對進行直接經皮冠狀動脈介入治療的ST段抬高性急性心肌梗死(STEMI)患者門-毬時間的影響.方法 2012年2月至2012年7月就診于廣州軍區廣州總醫院胸痛中心的進行直接PCI的STEMI的患者的臨床資料進行分析,分為院前傳輸心電圖組(採用12導聯心電圖遠程實時傳輸繫統將患者心電圖傳輸至胸痛中心)和無院前心電圖組.主要分析指標:進門至導管室時間、門-毬時間.次要分析指標:門-毬時間達標率、手術佔檯率、院內病死率、住院天數.結果 研究期間共入選60例患者,其中院前心電圖為35例,無院前心電圖為25例,院前心電圖可顯著縮短進門一毬時間(中位數,38 min vs.94 min;P＜0.01),院前心電圖組門-毬時間低于90 min的達標率顯著高于無院前心電圖組(94.6％:60％;p=0.001),院前心電圖手術佔檯率明顯低于無院前心電圖(5.7％vs.40％;P=0.001),住院時間則顯著短于無院前心電圖組(P＜0.01).2組患者住院期間病死率組間比較差異無統計學意義(P＞0.05).結論 遠程實時傳輸12導聯心電圖顯著縮短STEMI患者門-毬時間.
목적 평개12도련심전도원정실시전수계통대진행직접경피관상동맥개입치료적ST단태고성급성심기경사(STEMI)환자문-구시간적영향.방법 2012년2월지2012년7월취진우엄주군구엄주총의원흉통중심적진행직접PCI적STEMI적환자적림상자료진행분석,분위원전전수심전도조(채용12도련심전도원정실시전수계통장환자심전도전수지흉통중심)화무원전심전도조.주요분석지표:진문지도관실시간、문-구시간.차요분석지표:문-구시간체표솔、수술점태솔、원내병사솔、주원천수.결과 연구기간공입선60례환자,기중원전심전도위35례,무원전심전도위25례,원전심전도가현저축단진문일구시간(중위수,38 min vs.94 min;P＜0.01),원전심전도조문-구시간저우90 min적체표솔현저고우무원전심전도조(94.6％:60％;p=0.001),원전심전도수술점태솔명현저우무원전심전도(5.7％vs.40％;P=0.001),주원시간칙현저단우무원전심전도조(P＜0.01).2조환자주원기간병사솔조간비교차이무통계학의의(P＞0.05).결론 원정실시전수12도련심전도현저축단STEMI환자문-구시간.
Objective This study was aimed to evaluate the remote real-time transmission 12-lead electrocardiogram system on door-to-balloon time in patients with ST-segment elevation myocardial infarction.Methods We retrospectively analyzed the consecutive patients with STEM I who had accepted primary percutaneous coronary intervention (PCI) in the chest pain center of our hospital from February 2012 to July 2012.The study group consisted of patients with pre-hospital ECG,while the control group included patients without pre-hospital ECG,Their door-to-balloon time and door-to-catheter room time,mortality w ere compared.Results Totally 60 consecutive patients who had received primary PC I for STEMI were evaluated.Among them,35 patients were hospitalized with pre-hospital ECG while the other 25 patients without ECG.The Pre-hospital ECG was associated with a significautly shorter median door-to-balloon time (38 min vs.94min;P ＜0.01),The proportion of patients received balloon dilation within the guidelinerecommended 90 min timeframes Was significantly higher in pre-hospital ECG group than in non pre-hospital ECG group (94.6％ vs.60％;P =0.001).No difference was observed in mortality between the two groups (5.7％vs.4％;P ＞ 0.05),Significant difference was seen in the median hospital time in study group (5 compared with control group (7day) (5 day vs.7 day;P ＜ 0.01).Conclusions The remote real-time transmission 12-lead electrocardiogram system is associated with a significantly shorter door-to-balloon time in STEMI patients.The remote real-time transmission 12-lead electrocardiogram system is recommended in patients suspected STEMI.
