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目的了解急性ST段抬高型心肌梗死诊治现状,提高诊治水平。方法按照卫生部单病种质量控制指标如发病至就诊时间、第1份心电图时间、使用阿司匹林、β阻滞剂、ACEI/ARB、他汀类药物的情况等对急性ST段抬高型心肌梗死的诊治现状进行分析。结果发病到就诊时间平均452.61±822.87min,从进入急诊到第一份心电图时间平均16.97min。对患者进行健康教育100%,并在病历和护理记录中有反映。病情允许的情况下按照指南使用阿司匹林、β阻滞剂、ACEI/ARB,他汀类药物的使用率100%。结论急性ST段抬高型心肌梗死救治环节中仍存在着就诊延迟、部分能改善预后药物的应用不足等问题,需要进一步强化患者教育以及提高临床诊治水平。
Objective To understand the status of diagnosis and treatment of acute ST-segment elevation myocardial infarction and to improve the diagnosis and treatment. Methods According to the single quality control index of Ministry of Health such as onset to treatment time, the first electrocardiogram time, the use of aspirin, β blockers, ACEI / ARB, statins and other acute ST-segment elevation myocardial infarction Diagnosis and treatment status analysis. Results The average time from onset to treatment was 452.61 ± 822.87 minutes, reaching an average of 16.97 minutes from entering the emergency department to the first electrocardiogram. Health education for patients 100%, and in the medical records and nursing records are reflected. Use aspirin, beta blockers, ACEI / ARB, and statin use as directed by 100% of patients when the condition permits. Conclusion There are still some problems in the treatment of acute ST-segment elevation myocardial infarction, such as the delayed treatment and the partial application of prognostic drugs. It is necessary to further strengthen patient education and improve the level of clinical diagnosis and treatment.