罗焕荣　陈桂洪　陈霞　敖春妮

【摘要】 目的：研究胸痛中心建设对自行来院的急性心肌梗死患者在急诊科的诊疗效率的影响。方法：选取2018年5月-2019年2月笔者所在医院急诊科接诊的自行来院的急性心肌梗死患者63例为建设前组。选取2019年3-12月接诊的自行来院的急性心肌梗死患者86例为建设后组，比较两组在急诊科的诊疗效率。结果：建设后组首份心电图完成时间、肌钙蛋白I检测时间、会诊时间、双抗药物给药时间、急诊科停留时间均短于建设前组，差异均有统计学意义（P<0.05）。结论：胸痛中心建设能提高自行来院的急性心肌梗死患者在急诊科的诊疗效率。

【关键词】 胸痛中心 自行来院 急性心肌梗死 急诊科

doi：10.14033/j.cnki.cfmr.2020.21.070 文献标识码 B 文章编号 1674-6805（2020）21-0-03

Effect of Construction of Chest Pain Center on the Efficiency of Diagnosis and Treatment in Emergency Department of Self-admitted Patients with Acute Myocardial Infarction/LUO Huanrong， CHEN Guihong， CHEN Xia， AO Chunni. //Chinese and Foreign Medical Research， 2020， 18（21）： -173

[Abstract] Objective： To study the effect of construction of chest pain center on the efficiency of diagnosis and treatment in emergency department of patients with acute myocardial infarction. Method： From May 2018 to February 2019， 63 patients with acute myocardial infarction admitted to the emergency department of our hospital were selected as the pre-construction group. From March to December 2019， 86 patients with acute myocardial infarction admitted to the emergency department of our hospital were selected as the post-construction group. The efficiency of diagnosis and treatment in emergency department was compared between the two groups. Result： The completion time of the first ECG， the detection time of troponin I， the time of consultation， the time of double anti-drug administration and the time of stay in emergency department in the post-construction group were shorter than those the pre-construction group， and the differences were statistically significant （P<0.05）. Conclusion： The construction of chest pain center can improve the efficiency of diagnosis and treatment in emergency department of patients with acute myocardial infarction.

[Key words] Chest pain center Self-admitted Acute myocardial infarction Emergency department

First-authors address： Shanwei Second Peoples Hospital， Shanwei 516600， China.

急性心肌梗死是指冠狀动脉急性闭塞、血流中断，使部分心肌因严重的持久性缺血而发生局部坏死的疾病。急性心肌梗死是重要的致死病因，其疗效及预后具有很强的时间依赖性[1-2]。胸痛中心作为新的医学模式可有效对急性胸痛患者进行分类、快速鉴别、及时诊断、快速分诊及转运，进一步规范救治流程，缩短救治时间，可提高急诊胸痛患者，特别是急性心肌梗死的救治效率[3-4]。为规范救治流程，汕尾市第二人民医院胸痛中心于2019年3月开始按照国家胸痛中心标准化流程进行建设。本研究采用回顾性方法对笔者所在医院胸痛中心标准化建设前后各10个月的自行来院的急性心肌梗死患者在急诊科的诊疗情况进行比较，分析胸痛中心建设对自行来院的急性心肌梗死患者在急诊科的诊疗效率的影响。……