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.%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 emer-gency 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 implemen-tation 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 im-prove green channel of acute myocardial infarction.
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