基于胸痛中心急救流程在急性心肌梗死患者救治中的应用

目的探讨基于胸痛中心急救流程在急性心肌梗死(AMI)患者救治中的应用效果。 方法选取镇江市急救中心2017年8月至2021年8月接诊的94例AMI患者为研究对象，其中男性50例，女性44例；年龄42~81岁，平均(60.37±4.31)岁。根据就诊顺序分为对照组和研究组，每组各47例，对照组患者接受常规急救流程，研究组患者接受基于胸痛中心基础上的急救流程，比较两组患者急救各环节时间、不良心血管事件发生率及患者满意度。 结果研究组患者急救各环节时间较对照组更短，两组比较差异有统计学意义(P<0.05)；研究组患者不良心血管事件发生率显著低于对照组(6.38%比23.40%)，两组比较差异有统计学意义(P<0.05)；研究组患者满意度显著高于对照组(93.62%比78.72%)，两组比较差异有统计学意义(P<0.05)。 结论基于胸痛中心急救流程可有效缩短急救过程中各环节时间，最大限度降低不良心血管事件发生风险，患者满意度高，对提高AMI患者救治效果、改善预后具有积极意义。

Application of first-aid process based on chest pain center in treatment of patients with acute myocardial infarction

ObjectiveTo explore the application effect of first-aid process based on chest pain center in the treatment of patients with acute myocardial infarction. MethodsNinty-four patients with acute myocardial infarction treated by Zhenjiang Emergency Center from August 2017 to August 2021 were selected as the research objects, including 50 males and 44 females. The age ranged from 42 to 81 years, with an average of (60.37±4.31) years. The patients in the control group received the routine first-aid process, and the patients in the study group received the first-aid process based on the chest pain center. The time of each link of first-aid, the incidence of adverse cardiovascular events and satisfaction of the two groups were compared. ResultsThe time of first-aid in the study group was shorter than that in the control group, and the difference between the two groups was statistically significant(P<0.05). The incidence of adverse cardiovascular events in the study group was significantly lower than that in the control group(6.38% vs23.40%); there was significant difference between the two groups(P<0.05). The satisfaction of patients in the study group was significantly higher than that in the control group(93.62% vs 78.72%); there was significant difference between the two groups(P<0.05). ConclusionThe first-aid process based on chest pain center can effectively shorten the time of each link in the first-aid process, minimize the risk of adverse cardiovascular events, and has high patients’ satisfaction. It is of positive significance to improve the treatment effect and prognosis of patients with acute myocardial infarction.