摘要
目的探讨胸痛中心微信群的应用对急性ST段抬高型心肌梗死(STEMI)诊疗时间节点及住院期间心血管事件的影响。方法选择2017年4-8月在本院广泛应用胸痛中心微信群前收治的STEMI患者(68例)为对照组,选择2017年9月1日-12月19日在本院广泛应用胸痛中心微信群后收治的STEMI患者(68例)为研究组。观察对比两组患者FMC2ECG时间,FMC2B时间、D2B时间和FMC2双抗时间这些救治的重要时间节点;再比较两组患者住院期间死亡、心绞痛、再发心肌梗死、恶性心律失常和心功能Killip≥2级这些心血管事件。结果研究组FMC2ECG时间、FMC2B时间、D2B时间和FMC2双抗时间这些重要的时间节点都较对照组短(P<0.05);研究组住院期间死亡、心绞痛、再发心肌梗死、恶性心律失常和心功能Killip≥2级发生率有较对照组降低的趋势,但差异无统计学意义(P>0.05)。结论胸痛中心微信群缩短了STEMI诊疗的重要时间节点,不但有利于提高STEMI患者的疗效,而且有降低STEMI住院期间的心血管事件的趋势。
Objective To investigate the effect of Wechat group applied in chest pain center on the time node of diagnosis and treatment of acute ST-segment elevation myocardial infarction(STEMI)and cardiovascular events during hospitalization.Methods Before Wechat group was widely used,68 STEMI patients were selected as the control group.After Wechat group was widely applied,another 68 STEMI patients were selected as the study group.FMC2 ECG time,FMC2 B time,D2 B time and FMC2 double antiplatelet aggregation time were observed and compared between the two groups.Cardiovascular events such as death,angina pectoris,recurrent myocardial infarction,malignant arrhythmia and Killip(≥2)grade of cardiac function were compared between the two groups.Results The times of FMC2 ECG,FMC2 B,D2 B and FMC2 double antiplatelet aggregation in the study group were shorter than those in the control group(P<0.05);The incidence of death,angina pectoris,recurrent myocardial infarction,malignant arrhythmia and Killip(≥2)in the study group was lower than that in the control group,however,the differences were not statistically significant(P>0.05).Conclusions Apply Wechat group in chest pain center could shorten the important time node of STEMI diagnosis and treatment,which not only improves the treatment effect of STEMI patients,but also reduces the trend of cardiovascular events during hospitalization.
作者
孙炎华
谭文锋
林如明
赖兆新
任强
SUN Yan-hua(Department of Cardiology,]iangmen hospital affiliated to Sun Yat-sen University,Jiangmen,Guangdong,529030,China)
出处
《齐齐哈尔医学院学报》
2020年第1期38-41,共4页
Journal of Qiqihar Medical University
关键词
胸痛中心
微信群
急性ST段抬高型心肌梗死
诊疗
时间节点
Chest pain center
Wechat group
Acute ST-segment elevation myocardial infarction
Diagnosis and treatment
Time node
