采用急救网络绿色通道模式救治急性心肌梗死患者的效果

目的:探讨急性ST段抬高型心肌梗死(ST elevated myocardil infaction，STEMI)患者采用急救网络绿色通道救治模式的可行性及效果。方法: 对2008 年12月～2010年12月66例STEMI患者(新型模式组)采用新型急救网络绿色通道模式救治,另选取2006年11月～2008 年11月传统模式救治STEMI 42例(传统模式组),观察两组患者平均进门-球囊扩张时间(door to balloon,D2B)有无显著差异及术后3～6个月心脏不良事件（MACE）的发生情况。结果: 两组患者D2B在新型模式组为（88±11） min，传统模式组为（138±12） min，两组比较有统计学意义(P<0.01)；两组患者随访MACE发生情况（6% vs. 19%）相比有统计学意义（P<0.05）。结论: 采用急救网络及新型绿色通道救治模式，可明显缩短D2B，减少MACE的发生，改善患者的预后。

A new approach of green-emergency net and track in rescuing patients with ST-elevated infarction

AIM: To study the feasibility and effect of a new approach of green-emergency net and track in rescuing patients with ST-elevated myocardil infarction(STEMI).METHODS: Sixty-six STEMI patients(Group A) were treated with the new approach and 42 STEMI patients were treated traditionally as the control group(Group B).Door-to-balloon(D2B) time,occurrence of major adverse cardiac events(MACE) and influence on prognosis after 3-6 months from operation were compared between groups.RESULTS: Compared with group B,the median D2B time in group A was significantly shortened [(88±11) min vs.(138±12) min;P<0.01] and occurrence of MACE also significantly decreased(6% vs.19%).CONCLUSION: The new approach of green-emergency net and track in rescuing STEMI patients significantly reduces the D2B time and occurrence of MACE,thus remarkably improving the prognosis.