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急性ST段抬高型心肌梗死患者介入治疗门-囊时间的影响因素研究
引用本文:崔纳,郭金成,许敏,王国忠,张学坤,张海滨,高国旺,张正海,张立新,刘长虹. 急性ST段抬高型心肌梗死患者介入治疗门-囊时间的影响因素研究[J]. 实用心脑肺血管病杂志, 2010, 18(2): 111-113
作者姓名:崔纳  郭金成  许敏  王国忠  张学坤  张海滨  高国旺  张正海  张立新  刘长虹
作者单位:通州区潞河医院心内科,北京市,101149
摘    要:目的探讨急性ST段抬高型心肌梗死(STEMI)患者急诊介入治疗门-囊时间(患者入院至首次球囊扩张的时间)的影响因素。方法回顾性分析潞河医院2008年1月—2009年1月连续收治的198例急诊介入治疗的STEMI患者的门-囊时间的影响因素。按门-囊时间的不同将患者分为两组:A组(≤120min)和B组(120min),应用logistic回归分析影响门-囊时间的因素。结果单因素分析筛选出12个影响门-囊时间的因素(P均0.05);12个因素进行多因素非条件Logistic回归分析发现5个变量与门-囊时间明显相关(P均0.05)。结论多数STEMI患者的门-囊时间超过指南要求,临床因素和院内机制与长门-囊时间相关,应当建立起有效的机制来降低院内延迟。

关 键 词:急性心肌梗死  经皮冠状动脉介入术  急救医疗服务体系

Influential Factors of Door-to-balloon Times with Primary Percutaneous Coronary Intervention in Patients with Acute ST-elevation Myocardial Infarction
CUI Na,GUO Jin-cheng,XU Min,et al.. Influential Factors of Door-to-balloon Times with Primary Percutaneous Coronary Intervention in Patients with Acute ST-elevation Myocardial Infarction[J]. Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease, 2010, 18(2): 111-113
Authors:CUI Na  GUO Jin-cheng  XU Min  et al.
Affiliation:CUI Na,GUO Jin-cheng,XU Min,et al.Department of Cardiology,Luhe Hospital in Tongzhou District,Beijing 101149,China
Abstract:Objective Analyze the influential factors of the door-to-balloon time in patients with Acute ST-elevation Myocardial Infarction.Methods We retrospectively analyzed the door-to-balloon time of the 198 patients with STEMI who underwent procedures of PCI during 1,2008 and 1,2009.Twelve different factors were analyzed with Logistic regression to select the factors with obvious influence on the door-to-balloon time.Results 5 variables were found to have obvious correlation with the door-to-balloon time.Conclusio...
Keywords:Acute myocardial infarction  Percutaneous coronary intervention  Emergency medical service  
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