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目的评估一站式移动救护平台转运ST抬高型急性心肌梗死(ST-segment elevation acute myocardial infarction,STEMI)病人的效果。方法入选79例需要从急诊室转运到心导管室行经皮冠状动脉介入(percutaneous coronary intervention,PCI)治疗的STEMI患者,以时间为界点,界点后用一站式移动救护转运平台转运(A组,n=41)、界点前用传统转运对照(B组,n=38)的转运,比较2组患者在Killip分级中Ⅲ以上的比例、恶性心律失常发生率、呼吸机使用、心肺复苏率、APACHEⅡ评分、就诊-造影时间、血管开通率及家属满意度等指标的差异。结果一站式移动救护平台转运的患者Killip分级中Ⅲ以上的比例、恶性心律失常发生率、呼吸机使用及心肺复苏率较对照组明显升高(P<0.01)、APACHEⅡ评分较对照组高(P<0.05),该组患者总体病情重,就诊-造影时间短,血管开通率高,家属满意度改善(P<0.05)。结论一站式移动救护平台能及时、高效、安全转运高危的STEMI患者,血管开通率高,为进一步救治危重患者提供保障,令家属满意。
Objective To evaluate the effect of one-stop mobile ambulance platform on ST-segment elevation acute myocardial infarction (STEMI) patients. Methods A total of 79 patients with STEMI requiring percutaneous coronary intervention (PCI) from the emergency department to the cardiac catheterization room were enrolled in this study. The time was used as the boundary point. A single-point ambulance transport platform (A (N = 41, n = 41). Before transfusion, the patients were divided into two groups by conventional transport control (group B, n = 38). The ratio of Ⅲ in the Killip classification, the incidence of malignant arrhythmia, ventilator use, cardiopulmonary resuscitation Rate, APACHE Ⅱ score, treatment-imaging time, rate of vessel opening and family satisfaction and other indicators of the difference. Results The ratio of Ⅲ or more in the Killip grading, the incidence of malignant arrhythmia, ventilator use and CPR rate in the Killip class were significantly higher than those in the control group (P <0.01) and APACHE Ⅱ scores were higher P <0.05). The overall condition of the patients in this group was heavy, with short treatment time, high blood vessel opening rate and satisfaction with family members (P <0.05). Conclusion The one-stop mobile ambulance platform can promptly, efficiently and safely transport high-risk patients with STEMI. The rate of vascular opening is high, so as to provide further protection to critically ill patients and satisfy their families.