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三峡库区农村老年急性心肌梗死患者发病至首次医疗接触时间研究分析

熊春林, 徐建刚, 秦小龙

熊春林, 徐建刚, 秦小龙. 三峡库区农村老年急性心肌梗死患者发病至首次医疗接触时间研究分析[J]. 实用临床医药杂志, 2020, 24(15): 25-27. DOI: 10.7619/jcmp.202015007
引用本文: 熊春林, 徐建刚, 秦小龙. 三峡库区农村老年急性心肌梗死患者发病至首次医疗接触时间研究分析[J]. 实用临床医药杂志, 2020, 24(15): 25-27. DOI: 10.7619/jcmp.202015007
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XIONG Chunlin, XU Jian'gang, QIN Xiaolong. Study on symptom onset-to-first medical contact in patients with acute ST-segment elevation myocardial infarction in rural area of Three Gorges reservoir area[J]. Journal of Clinical Medicine in Practice, 2020, 24(15): 25-27. DOI: 10.7619/jcmp.202015007
Citation: XIONG Chunlin, XU Jian'gang, QIN Xiaolong. Study on symptom onset-to-first medical contact in patients with acute ST-segment elevation myocardial infarction in rural area of Three Gorges reservoir area[J]. Journal of Clinical Medicine in Practice, 2020, 24(15): 25-27. DOI: 10.7619/jcmp.202015007
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三峡库区农村老年急性心肌梗死患者发病至首次医疗接触时间研究分析

  • 重庆市奉节县人民医院 心血管内科, 重庆, 404600

基金项目: 

重庆市卫生计生委医学科研项目面上项目(2016MSXM195)

详细信息

  • 中图分类号: R542.2;R459.7

Study on symptom onset-to-first medical contact in patients with acute ST-segment elevation myocardial infarction in rural area of Three Gorges reservoir area

  • Department of Cardiovascular Medicine, Fengjie County People's Hospital in Chongqing, Chongqing, 404600

摘要

    摘要
  • 摘要: 目的 探讨发病至首次医疗接触(SO-to-FMC)时间对三峡库区农村地区急性ST段抬高型心肌梗死(STEMI)老年患者预后的影响。 方法 将87例STEMI患者根据SO-to-FMC时间分为SO-to-FMC≤6 h组(n=48)和SO-to-FMC>6 h组(n=39)。比较2组患者生存率、左室射血分数(LVEF)、6 min步行试验(6MWD)及纽约心脏病协会(NYHA)分级结果。 结果 SO-to-FMC≤6 h组生存率为97.9%, 高于SO-to-FMC>6 h组的87.2%, 差异有统计学意义(P=0.04)。SO-to-FMC≤6 h组患者6MWD为(376.8±115.8)m, 长于SO-to-FMC>6 h组的(318.3±110.8)m, 差异有统计学意义(P<0.05)。SO-to-FMC≤6 h组患者LVEF为(57.2±7.2)%, 与SO-to-FMC>6 h组的(54.5±6.6)%比较,差异无统计学意义(P>0.05)。SO-to-FMC≤6 h组患者NYHA心功能分级评估结果优于SO-to-FMC>6 h组,差异有统计学意义(P<0.05)。 结论 缩短STEMI患者SO-to-FMC时间可以有效提高患者生存率,改善患者预后。
    Abstract: Objective To investigate the influence of symptom onset-to-first medical contact(SO-to-FMC)time on prognosis of elderly patients with acute ST-segment elevation myocardial infarction(STEMI)in rural areas of Three Gorges reservoir area. Methods Eighty seven patients with STEMI were divided into SO-to-FMC≤6 h group(n=48)and SO-to-FMC>6 h group(n=39). The survival rate, left ventricular ejection fraction(LVEF), results of 6-minute walking test(6MWD)and New York Heart Association(NYHA)classification were compared between the two groups. Results The survival rate of the SO-to-FMC≤6 h group was 97.9%, which was significantly higher than 87.2% of the SO-to-FMC>6 h group(P=0.04). The 6MWD of the SO-to-FMC≤6 h group was(376.8±115.8)meters, which was significantly longer than(318.3±110.8)meters in the SO-to-FMC>6 h group(P<0.05). The LVEF of the SO-to-FMC≤6 h group was(57.2±7.2)%, which showed no significant difference when compared to(54.5±6.6)% of the SO-to-FMC>6 h group(P>0.05). The result of NYHA cardiac function classification in the SO-to-FMC≤6 h group was significantly better than that in the SO-to-FMC>6 h group(P<0.05). Conclusion Shortening the SO-to-FMC time can effectively improve the survival rate and prognosis of STEMI patients.
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出版历程
  • 收稿日期:  2020-04-19
  • 发布日期:  2020-09-09

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