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Received:October 10, 2020 Published Online:May 20, 2021
Received:October 10, 2020 Published Online:May 20, 2021
中文摘要: 目的 探讨非正常工作时间就诊对急性ST段抬高型心肌梗死(ASTEMI)患者入门至球囊(D2B)时间的影响。方法 回顾性分析2018年1月1日至2019年12月31日行直接经皮冠状动脉介入术(PPCI)治疗的120例ASTEMI患者,根据患者就诊的实际时间分为正常工作时间组(41例)与非正常工作时间组(79例)。进行两组基线资料及D2B时间点的对比,以D2B≥90 min进行Logistic多因素回归分析D2B延迟的相关因素。结果 非正常工作时间组的D2B时间[85.0(72.0±97.0)min vs 60.0(44.0±82.0)min,P<0.01]以及D2B时间≥90 min发生率(41.8% vs 12.2%,P<0.01)高于正常工作时间组,具体在D2B时间中的确诊-导管室启动时间、知情同意时间、导管室启动-导管室激活时间和导管室激活时间-患者入导管室时间长于正常时间工作组(P<0.05,P<0.01)。Logistic多因素回归分析显示,非正常工作时间就诊是D2B的独立影响因素之一[OR=17.445,95%CI(1.337~227.589),P=0.029]。结论 非正常工作时间就诊是影响D2B时间的因素之一,主要体现在导管室启动上的延迟,医生决策延迟、知情同意延迟是否可获有统计学意义的结果,有待扩大样本量进一步观察。
中文关键词: 急性ST段抬高型心肌梗死 入门至球囊时间 非正常工作时间
Abstract:ObjectiveTo investigate the effect of abnormal working time on door-to-balloon time(D2B) in acute ST-segment elevation myocardial infarction(ASTEMI) patients.Methods A retrospective analysis was performed on 120 ASTEMI patients who received primary percutaneous coronary intervention(PPCI) from January 1,2018 to December 31,2019.According to the actual time of visit,the patients were divided into the normal working time group (41 cases) and the abnormal working time group (79 cases).The baseline data and D2B time were compared between the two groups,and the related factors of D2B delay (D2B≥90 min) were analyzed by Logistic multivariate regression analysis.Results The D2B time [85.0(72.0±97.0)min vs 60.0(44.0±82.0)min,P<0.01 ] and the incidence of D2B time ≥ 90 min (41.8% vs12.2%,P<0.01 ) in abnormal working time group were higher than those in normal working time group.Confirmation-catheter room start-up time,informed consent time,catheter room start-up-catheter room activation time and catheter room [JP2]activation-patient entry time in abnormal working time group were longer than those in normal working time group (P<0.05 ,P<0.01 ).Logistic multivariate regression analysis showed that abnormal working time was one of the factors [JP2]affecting D2B time[OR=17.445,95%CI(1.337-227.589),P=0.029].Conclusion Abnormal working time is one of the factors that affect the D2B time,which is mainly reflected in the delay of the start-up of the catheter room,whether the [JP2]delay of doctors′ decision-making and informed are statistically significant needs to be further observed by expanding the sample size.
keywords: Acute ST-segment elevation myocardial infarction Door-to-Balloon time Abnormal working time
文章编号: 中图分类号:R541.4 文献标志码:A
基金项目:国家重点研发计划“数字诊疗装备研发”专项(2017YFC0113005)
Author Name | Affiliation |
ZHANG An-ning,CHEN Hao,LI Shi-jing,TONG Chun-ge,CHEN Hai-ying,WANG Jun | Department of Cardiology,Beijing Mentougou District Hospital,Beijing 102300,China |
Author Name | Affiliation |
ZHANG An-ning,CHEN Hao,LI Shi-jing,TONG Chun-ge,CHEN Hai-ying,WANG Jun | Department of Cardiology,Beijing Mentougou District Hospital,Beijing 102300,China |
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