摘要
目的:探究胸痛中心建设对急性心肌梗死(AMI)患者的抢救效果及应用价值.方法:筛选本院2020年3月至2021年3月收治的144例AMI患者进行研究,依据双盲法分为传统急救组(予以传统急救流程干预)及胸痛中心组(胸痛中心建设干预),每组72例.比较两组医护人员综合急救能力[采用迷你临床演练评估量表(Mini-CEX)评估]、急救效率、溶栓情况、死亡率、1年内再住院率及不良心血管事件发生率.结果:与传统急救组比较,胸痛中心组Mini-CEX评分[(5.17±1.09)分比(7.41±1.27)分]显著更高,发病至首次医疗接触时间[(12.40±1.93)min 比(5.51±0.76)min]、入门至血管开通时间[(114.37±26.06)min 比(67.05±8.34)min]、首次医疗接触至血管开通时间[(104.63±3.30)min比(79.72±2.73)min]、入院至溶栓时间[(68.08±2.17)min 比(52.84±1.58)min]、卧床时间[(65.27±2.02)h 比(41.67±1.77)h]均显著减少,死亡率(11.11％比2.78％)、1年内再住院率(15.28％比4.17％)及不良心血管事件发生率(18.06％比5.56％)均显著降低(P＜0.05或＜0.01).结论:胸痛中心建设可以显著提升医护人员的综合素质,完善急救流程,进一步提升AMI患者的急救效率,具有较高的临床推广价值.
Abstract
Objective:To explore the rescue effect and application value of chest pain center construction in patients with acute myocardial infarction(AMI).Methods:A total of 144 AMI patients admitted our hospital from March 2020 to March 2021 were selected.According to the double-blind method,they were divided into traditional first-aid group(traditional first-aid procedure intervention,n=72)and chest pain center group(chest pain center con-struction intervention,n=72).Medical staff comprehensive first-aid ability[assessed by Mini-Clinical Evaluation Exercise(Mini-CEX)],first-aid efficiency,thrombolytic condition,mortality,incidence rates of 1-year rehos-pitalization and adverse cardiovascular events were compared between two groups.Results:Compared with tradi-tional first-aid group,there was significant rise in Mini-CEX score[(5.17±1.09)points vs.(7.41±1.27)points],and significant reductions in onset-to-first medical contact time[(12.40±1.93)min vs.(5.51±0.76)min],door-to-balloon time[(114.37±26.06)min vs.(67.05±8.34)min],first medical contact-to-reperfu-sion time[(104.63±3.30)min vs.(79.72±2.73)min],admission-to-thrombolysis time[(68.08±2.17)min vs.(52.84±1.58)min],time in bed[(65.27±2.02)h vs.(41.67±1.77)h],mortality(11.11％vs.2.78％),incidence rates of 1-year rehospitalization(15.28％vs.4.17％)and adverse cardiovascular events(18.06％vs.5.56％)in chest pain center group(P＜0.05 or＜0.01).Conclusion:Chest pain center construction can signifi-cantly improve the comprehensive quality of medical staff,complete the first-aid process,and further improve the efficiency of first-aid for AMI patients,which has a high value of clinical promotion.
基金项目
2020年廊坊市科学技术研究与发展计划自筹经费项目(2020013059)
维普
万方数据