摘要
目的:探究基层胸痛中心急性心肌梗死(AMI)患者救治延迟影响因素。方法:选取2018年7月至2020年6月清远市清城区人民医院胸痛中心收治的AMI患者120例作为研究对象,采取Logistic多因素回归分析法分析救治延迟的影响因素。结果:年龄、发病时机、糖尿病、文化程度、居住地区、就医决策、选择再灌注策略为院前院内治疗延迟时间的独立危险因素。结论:在实际临床工作中,应重点优化对高龄、患有糖尿病、居住在农村的AMI患者的救治流程,选择适合的再灌注策略,缩短需经皮冠状动脉介入术的患者转运时间、减少心肌缺血总时间。
Objective To explore the influencing factors and intervention methods of treatment delay in patients with acute myocardial infarction(AMI)in primary chest pain center.Methods A total of 120 PATIENTS with AMI admitted to the Chest Pain Center of Qingcheng District People’s Hospital of Qingyuan from July 2018 to June 2020 were selected as the research objects.The influencing factors of treatment delay were analyzed by Logistic multivariate regression analysis,and the corresponding countermeasures were formulated.Results Age,onset time,diabetes,educational level,residential area,medical decision and reperfusion strategy were independent risk factors for delay time of prehospital and hospital treatment.Conclusions In the practical clinical work,it is important to optimize the treatment process of elderly patients with AMI,diabetic patients and living in rural areas,select an appropriate reperfusion strategy,shorten the transport time of patients needing PCI and reduce the total time of myocardial ischemia.
作者
魏中原
张晓燕
梁鸿光
WEI Zhong-yuan;ZHANG Xiao-yan;LIANG Hong-guang(Qingcheng District People's Hospital of Qingyuan,Guangdong Qingyuan 511599)
出处
《深圳中西医结合杂志》
2021年第17期33-34,共2页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
清远市科技计划项目资助课题(2018B107)。
关键词
急性心肌梗死
救治延迟
影响因素
基层胸痛中心
Acute myocardial infarction
Delay in treatment
Influencing factors
Primary chest pain center
