| 急性冠状动脉综合征病人延误诊治相关因素分析 |
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| 引用本文： | 叶少玲,王智明,谢衬梨,陈玉兰. 急性冠状动脉综合征病人延误诊治相关因素分析[J]. 广州医学院学报, 2005, 33(4): 30-31 |
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| 作者姓名： | 叶少玲 王智明 谢衬梨 陈玉兰 |
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| 作者单位： | 东莞市太平人民医院心内科,广东,东莞,523900 |
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| 摘 要： | 目的:了解急性冠状动脉综合征(ACS)患者延误诊治相关因素,并加以分析,为提高治疗效果提供依据。方法:收集2001~2004年本科住院130例ACS患者,分为不稳定性心绞痛(UAP)和急性心肌梗死(AM I)两组,回顾性分析从发病到就诊(T1)、就诊到再灌注治疗(T2)的时间。调查患者院外延迟和院内延迟的相关因素。结果:两组患者T1和T2都有明显的延误,其中主要是从发病到就诊的时间:UAP组T1为(11.6±4.2)d,AM I组T1(3.9±1.2)d,UAP组较AM I组延误的时间更为显著(P<0.05),以症状不典型,对ACS认识不足为主。结论:ACS患者存在延误诊治现象,其中主要是院外因素,需要加强健康教育,开辟ACS患者绿色生命通道是重要对策。
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| 关 键 词： | 急性冠状动脉综合征 延误诊治 健康教育 |
| 文章编号： | 1008-1836(2005)04-0030-02 |
| 收稿时间： | 2005-05-18 |
| 修稿时间： | 2005-05-18 |
Analysis and Strategy of Related Causes for Delayed Treatment in Acute Coronary Syndrome |
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| YE Shao-ling,WANG Zhi-ming,XIE Chen-li,CHEN Yu-lan. Analysis and Strategy of Related Causes for Delayed Treatment in Acute Coronary Syndrome[J]. Academic Journal of Guangzhou Medical College, 2005, 33(4): 30-31 |
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| Authors: | YE Shao-ling WANG Zhi-ming XIE Chen-li CHEN Yu-lan |
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| Abstract: | Objective:To investigate the causes for delayed treatment in acute coronary syndrom(ACS)and strategies.Methods:The periods from onset to the first visit,the first visit to treatment was analyzed.The admission beyond 12h from onset was defined as out-hospital delay.The treatment beyond 30 min from admission was defined as in-hospital delay.Results:The two periods were significantly prolonged in both groups.The out-hospital delay was longer than the in-hospital delay.Conclusion:The treatment for ACS was delayed.Health education and establishment of green channel are important strategies. |
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| Keywords: | acute coronary syndrome(ACS) delayed treatment health education |
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