1.Department of Emergency,Dongguan Huangjiang Hospital,Guangdong Province,Dongguan 523750,China;
2.The Second Department of Internal medicine,Dongguan Huangjiang Hospital,Guangdong Province,Dongguan 523750,China
Abstract:Objective To explore the effect of emergency percutaneous coronary intervention (PCI)green channel on the rescue effect of patients with acute ST-segment elevation myocardial infarction (STEMI).Methods A total of 126 patients with STEMI who underwent PCI through the green channel from October 2016 to June 2018 in our hospital were selected as the observation group,and 107 STEMI patients who underwent PCI before the green channel was established from October 2014 to September 2016 were selected as the control group.The rescue time,door to balloon(D-to-B)time,the compliance rate of D-to-B time,hospitalization time,and mortality were compared between the two groups.Results The time of triage evaluation,time of venous stasis and intravenous administration in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The electrocardiogram monitoring time and total rescue time in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.01).The D-to-B time of the observation group was shorter than that of the control group,and the difference was statistically significant (P<0.01).The compliance rate of D-to-B time in the observation group was significantly higher than that in the control group,and the difference was statistically significant (P<0.01).The hospitalization time of the observation group was shorter than that of the control group,and the difference was statistically significant (P<0.05).The mortality of the observation group was significantly lower than that of the control group,and the difference was statistically significant(P<0.01).Conclusion The establishment of emergency PCI green channel can significantly shorten the rescue time of STEMI patients,reduce the mortality,improve the overall quality of rescue,and has a good clinical promotion value.
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[2]
Cao B,Wang HP,Zhang C,et al.Remote ischemic postconditioning (RIPC)of the upper arm results in protection from cardiac ischemia-reperfusion injury following primary percutaneous coronary intervention(PCI)for acute ST-segment elevation myocardial infarction (STEMI)[J].Med Sci Monit,2018,19(24):1017-1026.