陈晖张同李倩四川省德阳市第二人民医院心血管内科，四川德阳618000

优化急诊流程对急性心肌梗死患者再灌注治疗时间的影响

陈晖张同李倩
四川省德阳市第二人民医院心血管内科，四川德阳618000

目的探讨优化急诊流程对急性心肌梗死患者再灌注治疗时间的影响情况。方法分析德阳市第二人民医院2014年1月～2016年2月收治的200例急性心肌梗死患者临床资料，分为优化急诊流程组（优化接诊流程、优化救治流程、优化交接流程）100例和常规流程组100例。观察两组急性心肌梗死患者就诊到分诊评估治疗时间、就诊到心电图时间、就诊到激活导管室时间、就诊到给药时间、就诊到签字同意时间、就诊到备术完成时间、就诊至球囊扩张时间、进-出急诊室时间、总住院天数、抢救成功率、死亡率、复发率情况。结果优化急诊流程组急性心肌梗死患者就诊到分诊评估治疗时间、就诊到心电图时间、就诊到激活导管室时间、就诊到给药时间、就诊到签字同意时间、就诊到备术完成时间、就诊至球囊扩张时间、进-出急诊室时间、总住院天数均低于常规流程组，优化急诊流程组急性心肌梗死患者抢救成功率（95%）高于常规流程组（80%），死亡率（2%）、复发率（3%）低于常规流程组（10%、10%），差异均有统计学意义（P＜0.05）。结论优化急诊流程在急性心肌梗死患者中应用，可以降低再灌注治疗时间，预后良好，值得推广应用。

优化急诊流程；急性心肌梗死；再灌注；治疗时间；影响

［Abstract］Objective To approach influence of reperfusion treatment time for acute myocardial infarction patients by optimize emergency process.Methods The 200 cases clinical data of acute myocardial infarction patients in Deyang No.2 People's Hospital from January 2014 to Feburary 2016.were analyzed，which were to be divided into optimize emergency process group（optimization process，optimize treatment process，optimize handover process）100 cases and conventional process group 100 cases.The treatment time of visiting to triage，ECG time of visiting，activate international time of visiting，drug administration time of visiting，sign up time of visiting，completion time of visiting，balloon expansion time of visiting，in-out emergency time，total hospitalization days，rescue success rate，death rate，myocardial infarction recurrence of two groups acute myocardial infarction patients were detected.Results The treatment time of visiting to triage，ECG time of visiting，activate international time of visiting，drug administration time of visiting，sign up time of visiting，completion time of visiting，balloon expansion time of visiting，in-out emergency time，total hospitalization days of optimize emergency process group acute myocardial infarction patients were lower than conventional process group，the rescue success rate 95%of optimize emergency process group acute myocardial infarction patients were higher than conventional process group（80%），death rate（2%），myocardial infarction recurrence（3%）were lower conventional process group（10%，10%），the difference were statistical significance（P＜0.05）.Conclusion The application of acute myocardial infarction patients by optimize emergency process，which can decrease reperfusion treatment time，prognosis is good，It is worth to be used.

［Key words］Optimize emergency process；Acute myocardial infarction；Reperfusion；Treatment time；Influence

近年来随着人口老龄化和心脑血管疾病发生率呈现明显升高趋势，目前全球心血管疾病患者有将近800万例死于急性心肌梗死，心血管疾病中有近30%死于冠心病，冠心病患者中有近一半死于急性心肌梗死［1-2］。……