急诊科实施急性ST段抬高心肌梗死临床路径

目的:探讨急诊科早期对急性ST段抬高心肌梗死患者实施临床路径的临床疗效。方法:以非同期队列研究方法,把实施临床路径的病例归入观察组(55例),没有实施临床路径的病例归入对照组(57例),对比两组90 min内PCI的比例、D2B时间、90 min内ST回落>50%的比例、CK-MB峰值回落时间、住院天数。结果:观察组急性STEMI患者90 min内PCI的比例、D2B时间、90 min内ST回落>50%的比例、CK-MB峰值回落时间、住院天数的数据优于对照组,差异有统计学意义(P<0.05)。结论:急诊科早期实施急性ST段抬高型心肌梗死临床路径,可有效缩短D2B时间,提高STEMI患者的治疗质量。

Discussion on the implementation of clinical pathway in acute ST segment elevation myocardial infarction in emergency department

Objective To explore the early implementation of the clinical pathway in emergency department were observed in patients with acute ST segment elevation myocardial infarction. Methods The nonsynchronous cohort study,the clinical pathway implementation cases in observation group （55 cases） ,not the implementation of clinical pathway were enrolled into the control group （57 cases） ,ccmpared two groups of 90min ratio of PCI, D2B,90min ST fall time 〉 50% ratio, CK - MB peak time, hospitalization days. Results The group of pa- tients with acute STEMI 90min PCI ratio,D2B time, 90min ST 〉 50%, CK - MB drop ratio peak days of hospitalization time, data better than the control group. There are significant differences（ P 〈 0.05 ）. Conclusion The implementation of clinical pathway in acute ST seg- ment elevation myocardial infarction early emergency department, effectively reduce the D2B ＇time,improve the quality of care of patients with STEMI.