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目的:探究胸痛中心对急性冠状动脉综合征的救治模式对STEIM的救治作用。方法:选取2015年7月-2016年7月进入临床路径的80例ST段抬高的心肌梗死(STEIM)患者作为对照组,选取胸痛中心成立后,2016年7月-2017年7月进入临床路径的86例ST段抬高的心肌梗死(STEIM)患者作为观察组;对照组患者按照正常STEMI模式进行抢救,观察组患者实行冠状动脉综合征的救治模;比较两组患者在急诊分诊时间、检查时间、球囊扩张时间(Door to balloon time,D2B time)、救治成功率及住院时间。结果:成立胸痛中心后,观察组患者进行急诊分诊的时间和检查时间显著少于胸痛中心成立前的对照组,两组间差异存在统计学意义(P<0.05);观察组患者的救治时间和住院时间显著少于对照组,救治成功率显著高于对照组,两组间差异存在统计学意义(P<0.05)。结论:胸痛中心对急性冠状动脉综合征的救治模式对STEIM的救治具有显著的临床效果,值得临床推广。
Objective: To explore the therapeutic effect of chest pain center on STEIM in treatment of acute coronary syndrome. METHODS: Eighty patients with ST-segment elevation myocardial infarction (STEIM) who entered the clinical pathway between July 2015 and July 2016 were selected as the control group. After setting up the center of chest pain, they were admitted to the clinic from July 2016 to July 2017 Pathways of 86 patients with ST-segment elevation myocardial infarction (STEIM) as the observation group; patients in the control group were treated according to the normal STEMI model and the patients in the observation group were treated with coronary artery disease; the patients in the two groups were compared in emergency triage time , Examination time, time to door to balloon time (D2B time), treatment success rate and hospitalization time. Results: After setting up the chest pain center, the time and examination time of the emergency group in the observation group were significantly less than those before the establishment of the chest pain center. The difference between the two groups was statistically significant (P <0.05). The treatment time And hospitalization time were significantly less than the control group, treatment success rate was significantly higher than the control group, the difference between the two groups was statistically significant (P <0.05). Conclusion: The treatment of acute coronary syndrome in chest pain center has a significant clinical effect on the treatment of STEIM, which is worthy of clinical promotion.