规范术前谈话对急诊PCI患者球囊时间的影响(1)
摘要：目的 探讨总住院医师应用规范化术前谈话内容对急性ST段抬高型心肌梗死(STEMI)患者急诊经皮冠状动脉支架植入术(PCI)门-球囊扩张(DTB)时间的影响。方法 本研究连续入选自2017年1月1日～2017年6月30日河北省人民医院心血管内科收治并成功行PCI的STEMI患者118例，随机分为2组，试验组62例由经过培训的总住院医师采用规范化谈话内容谈话;对照组56例由未经过培训的总住院医师应用自己的谈话方式谈话，评估规范术前谈话是否可以缩短术前谈话时间，进而缩短急诊PCI患者球囊时间。结果 试验组平均获得知情同意时间为(7.10±3.43)min，优于对照组的(14.64±6.06)min，差异具有统计学意义(P<0.05)。结论 总住院医师采用规范化谈话内容有助于缩短获得知情同意时间，进而缩短DTB时间。
关键词：急性ST段抬高型心肌梗死;门-球囊时间;术前谈话;规范化谈话内容
中图分类号：R197.3;R542.2 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.04.036
, 百拇医药
文章编号：1006-1959(2019)04-0113-04
Abstract：Objective To investigate the effect of total resident prescribing on the time of emergency percutaneous coronary stenting (PCI) portal-balloon dilatation (DTB) in patients with acute ST-segment elevation myocardial infarction (STEMI). Methods A total of 118 STEMI patients who underwent PCI from the Department of Cardiology， Hebei Provincial People's Hospital from January 1， 2017 to June 30， 2017 were randomly divided into the experimental group and the control group. 62 patients in the trial group were interviewed by a trained general resident using standardized conversational content; 56 patients in the control group were interviewed by untrained general residents using their own conversations to assess whether preoperative preoperative conversations could shorten preoperative conversation time， and Shorten the balloon time in emergency PCI patients. Results The average informed consent time was (7.10±3.43) min in the experimental group， which was superior to the control group (14.64±6.06) min，the difference was statistically significant (P<0.05). Conclusion The use of standardized interviews by the general resident helps to shorten the time to get informed consent and thus shorten the DTB time.
, 百拇医药
Key words：Acute ST-segment elevation myocardial infarction;Gate-balloon time;Preoperative conversation;Standardized conversation
急性ST段抬高型心肌梗死(ST-segmentelevationmyocardialinfarction，STEMI)通常是由于動脉粥样斑块破 裂、溃疡、裂纹、糜烂或夹层，引起一支或多支冠状动脉血栓形成，导致心肌血流减少或远端血小板栓塞伴心肌坏死[1]。PCI是STEMI患者早期再灌注治疗的首选方法，是一个时间敏感性过程，任何阶段再灌注延迟均可导致死亡率增加，因此，急诊PCI更突出“时间就是心肌，时间就是生命”的特点[2，3]。DBT时间<90 min是STEMI及时再灌注的基准，可改善STEMI患者短期和长期预后，是降低死亡率的主要决定因素[4，5]。我院自2017年成立胸痛中心以来，平均DTB时间由103 min缩短至目前的49 min，进一步降低了STEMI患者的DTB时间，但术前谈话时间约占DTB时间35%[6，7]。本研究采取前瞻、随机、对照研究观察心内科总住院医师规范化谈话内容对DTB时间的影响，现将结果报告如下, http://www.100md.com(王禹丹 党懿 李英肖)
关键词：急性ST段抬高型心肌梗死;门-球囊时间;术前谈话;规范化谈话内容
中图分类号：R197.3;R542.2 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.04.036
, 百拇医药
文章编号：1006-1959(2019)04-0113-04
Abstract：Objective To investigate the effect of total resident prescribing on the time of emergency percutaneous coronary stenting (PCI) portal-balloon dilatation (DTB) in patients with acute ST-segment elevation myocardial infarction (STEMI). Methods A total of 118 STEMI patients who underwent PCI from the Department of Cardiology， Hebei Provincial People's Hospital from January 1， 2017 to June 30， 2017 were randomly divided into the experimental group and the control group. 62 patients in the trial group were interviewed by a trained general resident using standardized conversational content; 56 patients in the control group were interviewed by untrained general residents using their own conversations to assess whether preoperative preoperative conversations could shorten preoperative conversation time， and Shorten the balloon time in emergency PCI patients. Results The average informed consent time was (7.10±3.43) min in the experimental group， which was superior to the control group (14.64±6.06) min，the difference was statistically significant (P<0.05). Conclusion The use of standardized interviews by the general resident helps to shorten the time to get informed consent and thus shorten the DTB time.
, 百拇医药
Key words：Acute ST-segment elevation myocardial infarction;Gate-balloon time;Preoperative conversation;Standardized conversation
急性ST段抬高型心肌梗死(ST-segmentelevationmyocardialinfarction，STEMI)通常是由于動脉粥样斑块破 裂、溃疡、裂纹、糜烂或夹层，引起一支或多支冠状动脉血栓形成，导致心肌血流减少或远端血小板栓塞伴心肌坏死[1]。PCI是STEMI患者早期再灌注治疗的首选方法，是一个时间敏感性过程，任何阶段再灌注延迟均可导致死亡率增加，因此，急诊PCI更突出“时间就是心肌，时间就是生命”的特点[2，3]。DBT时间<90 min是STEMI及时再灌注的基准，可改善STEMI患者短期和长期预后，是降低死亡率的主要决定因素[4，5]。我院自2017年成立胸痛中心以来，平均DTB时间由103 min缩短至目前的49 min，进一步降低了STEMI患者的DTB时间，但术前谈话时间约占DTB时间35%[6，7]。本研究采取前瞻、随机、对照研究观察心内科总住院医师规范化谈话内容对DTB时间的影响，现将结果报告如下, http://www.100md.com(王禹丹 党懿 李英肖)