Objective To study the related factors of pre-hospital delay with acute myocardial infarction in chest pain cent-er network hospital, providing theory support for reducing the delay time. Methods A total of 112 acute myocardial infarction patients admitted from January 2015 to June 2017 in our hospital were enrolled in this study. The reasons for the delay in pre-hospital diagnosis and treatment of patients with acute myocardial infarction were analyzed. delay factors were analyzed using multivariate logistic regression. Results Age, diabetes, timing of onse, living area, need PCI operation as independent predictors of pre-hospital treatment delay> 6h, talk time and waiting table time were independent predictors of hospital delayed treatment>90min. Conclusion In the actual clinical work, it was suggested to focus on reducing the rescue process of patients who was elderly, diabetes, living in rural areas, while shortening and optimizing the diagnosis and treatment of chest pain center. while a chest pain center need to be certified positively to reduce transit times in patients undergoing PCI.%目的:研究胸痛中心网络医院急性心肌梗死患者救治延迟影响因素,为降低延误时间提供理论支撑.方法:连续收集2015年1月~2017年6月我院收治的急性心肌梗死患者112例为研究对象,分析急性心肌梗死患者救治延迟的原因,用logistics多因素回归分析延误因素.结果:年龄、糖尿病、发病时机、居住地区、需行PCI手术作为院前治疗延误时间>6h的独立预测因素.结论:在实际临床工作中,应重点减少对高龄、患有糖尿病、居住在农村患者的抢救流程,同时积极认证胸痛中心,减少需PCI手术的患者转运时间.
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