文章摘要
刘菲,王晓岩,姜悦,张润华.急性心肌梗死院内绿色通道的改进措施[J].中国临床保健杂志,2017,20(6):671-675.
急性心肌梗死院内绿色通道的改进措施
The improvement measures investigation of emergency green channel of for acute myocardial infarction
投稿时间:2017-07-16  
DOI:10.3969/J.issn.1672-6790.2017.06.013
中文关键词: 心肌梗死  血管成形术,气囊,冠状动脉  组织和管理
英文关键词: Myocardial infarction  Angioplasty,balloon,coronary  Organization and administration 〖FL
基金项目:国家“十三五”慢病重点专项(2016YF1301500)
作者单位E-mail
刘菲 急性心肌梗死DTB时间影响因素鱼骨图 wuyeweiqiusheng@163.com 
王晓岩 急性心肌梗死DTB时间影响因素鱼骨图 wxy18088@sohu.com 
姜悦 急性心肌梗死DTB时间影响因素鱼骨图  
张润华 急性心肌梗死DTB时间影响因素鱼骨图  
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中文摘要:
      目的 探讨改进急性心肌梗死院内绿色通道及争取抢救时间的有效措施。方法 选取改进前108例(2015年1—8月,对照组)和改进后85例(2016年1—8月,改进组)入急诊绿色通道行经皮冠状动脉介入治疗手术的急性ST段抬高型心肌梗死患者。采取优化整体流程、提高诊断准确率、加强医患沟通、提高导管手术室效率、加强实时信息记录等方法加以改进,比较改进组和对照组患者从入院到经皮冠状动脉介入治疗的首次球囊扩张(DTB)的时间,评价实施效果。结果 改进组DTB时间中位数为85(71~102)min,较对照组中位数89(77~126)min缩短(Z=2.332,P<0.05)。结论 积极采取优化整体流程、提高诊断准确率、加强医患沟通、提高导管手术室效率、加强实时信息记录等方法,可有效缩短DTB时间。
英文摘要:
      Objective To get effective measures for improving acute myocardial infarction emergency green channel and gain more rescue time.Methods 85 STEMI cases with percutaneous coronary intervention(PCI) in emergency green channel from January to August in 2016 were selected as lean group,and 108 cases were selected as control group from January to August in 2015.The measures was implemented to reduce door-to-balloon time and the implementation effects were evaluated,including optimizating the whole process of emergency green channel of acute myocardial infarction,improving diagnostic accuracy,constructing harmonious physician-patient relationship increasing efficiency of catheter surgery room and improving record of real-time information.Results The median values of door-to-balloon time were 85 (71-102) min in the lean group and 89 (77-126) min in control group,respectively (Z=2.332,P<0.05).Conclusion The measures implemented to reduce door-to-balloon time and the implementation effects can improve green channel of acute myocardial infarction.
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