| 胡永奎,周春光.急性ST段抬高心肌梗死患者血管开通时间延迟的影响因素分析.[J].中南医学科学杂志.,2023,(3):421-424, 432. |
| 急性ST段抬高心肌梗死患者血管开通时间延迟的影响因素分析 |
| Analysis of influencing factors of delayed recanalization time in patients with acute ST-segment elevation myocardial infarction |
| 投稿时间：2022-07-06 修订日期：2023-04-22 |
| DOI：10.15972/j.cnki.43-1509/r.2023.03.026 |
| 中文关键词: ST段抬高心肌梗死 经皮冠状动脉介入 患者延迟 系统延迟 院内延迟 [ |
| 英文关键词:ST-segment elevation myocardial infarction percutaneous coronary intervention patient delay system delay in-house delay |
| 基金项目:广元市重点研发项目(20ZDYF0034) |
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| 中文摘要: |
| 目的探讨ST段抬高心肌梗死(STEMI)患者血管开通时间延迟的影响因素。 方法选取本院204例STEMI行急诊经皮冠状动脉介入治疗手术患者,根据患者延迟时间、系统延迟时间、院内延迟时间分别进行分组。采用单因素及Logisitic回归分析各组血管开通时间延迟的影响因素。 结果患者延迟时间≤90 min组93例,＞90 min组111例；女性、高龄、自费、居住地在城郊或农村、到院距离＞10 km、发病时间在非正常工作时间是患者延迟时间的危险因素,文化程度高、入院方式为紧急救援系统(EMS)、发病时有陪护者是患者延迟时间的保护因素。系统延迟时间≤120 min组119例,＞90 min组85例；乡镇转院、EMS入院、非正常工作时间是系统延迟时间的危险因素。院内延迟时间≤90 min组173例,＞90 min组31例；乡镇转院、EMS入院是院内延迟时间的保护因素,非正常工作时间是院内延迟时间的危险因素。 结论非正常工作时间是STEMI患者血管开通时间延迟的危险因素。 |
| 英文摘要: |
| AimTo investigate the influencing factors of delayed recanalization time in patients with acute ST-segment elevation myocardial infarction (STEMI). Methods204 patients with STEMI undergoing emergency percutaneous coronary intervention in our hospital were selected and divided into groups based on patient delay time, system delay time, and hospital delay time. Univariate analysis and Logisitic regression were used to analyze the influencing factors of delayed vascular opening time in each group. ResultsThere were 93 cases in the ≤90 minute group and 111 cases in the ＞90 minute group in the patient delay time. Female, old age, self-payment, residence in suburban or rural areas, distance to hospital ＞10 km, onset time in abnormal working hours were risk factors for the delayed time in patients. High education level, emergency medical service (EMS) mode of admission, caregivers at onset were protective factors for the delay time in patients. There were 119 cases in the ≤120 min group and 85 cases in the ＞90 min group in the system delay time. Township hospital transfer, EMS admission and abnormal working time were risk factors of system delay time extension. There were 173 cases in the ≤90 minute group and 31 cases in the ＞90 minute group in the hospital delay time.Township hospital transfer and EMS admission were protective factors for in-hospital delay time, and abnormal working time was a risk factor for in-hospital delay time. ConclusionAbnormal working hours is a risk factor for delayed vascular opening in STEMI patients. |
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