Effect of optimizing emergency green channel on treatment time of patients with acute myocardial infarction undergoing percutaneous coronary intervention

doi:10.3877/cma.j.issn.2095-5782.2024.02.016

Abstract

Abstract:

Objective

To evaluate the effect of optimizing the emergency green channel on the treatment time of patients with acute myocardial infarction (AMI) concurrent with percutaneous coronary intervention (PCI).

Methods

100 patients with AMI concurrent emergency PCI admitted to the Fifth Affiliated Hospital of Sun Yat sen University from January 2021 to December 2021 were selected as the control group, and 99 patients with AMI who underwent emergency PCI from January 2022 to December 2022 were selected as the research group. The patients in the control group received the conventional emergency intervention mode, while the patients in the research group received optimized green channel clinical pathway intervention mode. Intervention operating room start-up activation time, intervention operating room start-up patient arrival time, the door-to-needle time (DNT) and patient hospitalization time were counted and compared between the two groups of patients.

Results

The intervention operating room arrival time, intervention operating room start-up patient arrival time, and DNT in the observation group were significantly shorter than those in the control group, with statistical significance (P < 0.05). There was no statistically significant difference in hospitalization time between the two groups (P > 0.05).

Conclusion

Optimizing the emergency green channel mode has a positive impact on the treatment time of patients with AMI concurrent emergency PCI.

Key words: Acute myocardial infarction, Percutaneous coronary intervention, Emergency treatment, Optimized green channel, Treatment time

Yongjian Lin, Xuehua Xie, Liru Hao, Li Liu, Yingdong Ma. Effect of optimizing emergency green channel on treatment time of patients with acute myocardial infarction undergoing percutaneous coronary intervention[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2024, 12(02): 185-189.

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References 21

[1]	中华医学会心血管病学分会, 中华心血管病杂志编辑委员会. 急性ST段抬高型心肌梗死诊断和治疗指南(2019)[J]. 中华心血管病杂志, 2019, 47(10): 766-783.
[2]	中华医学会心血管病学分会, 中华心血管病杂志编辑委员会. 急性心肌梗死合并心原性休克诊断和治疗中国专家共识(2021)[J]. 中华心血管病杂志, 2022, 50(3): 231-242.
[3]	姚懿, 徐娜, 贾斯达, 等.急性冠状动脉综合征患者心血管危险因素合并情况与介入治疗术后长期预后的关系[J]. 中国循环杂志, 2023, 38(5): 531-536.
[4]	张君懿, 黄进勇, 徐绍鹏, 等. 冠脉内溶栓联合PCI对改善急性ST段抬高型心肌梗死患者心肌灌注的研究进展[J]. 中国慢性病预防与控制, 2023, 31(5): 380-383.
[5]	李庆印, 刘裕文, 郝云霞, 等.急诊经皮冠状动脉介入治疗护理现状与思考[J]. 中华急危重症护理杂志, 2021, 2(1): 32-36.
[6]	刘敏, 急救护理衔接绿色通道对急性心肌梗死患者抢救效率及预后的影响[J]. 国际护理学杂志, 2020, 39(22): 4061-4064
[7]	周正文. 院前急救联合绿色通道在PCI治疗急性心肌梗死中的应用价值研究[J]. 心血管病防治知识, 2021, 11(26): 28-30.
[8]	廖德荣, 钱宝堂. 院前急救联合绿色通道模式在行PCI术急性心肌梗死患者中的应用[J]. 广西医科大学学报, 2019, 36(6): 978-981.
[9]	顾靓, 司贤峰, 李留洋. 体外心肺复苏术联合急诊PCI在急性心肌梗死后心脏骤停患者急救中的应用研究[J]. 临床医学, 2022, 42(9): 26-28.
[10]	彭丽芳. 临床护理路径在急性心肌梗死患者急救中的应用价值分析[J]. 心血管病防治知识, 2020, 10(29): 69-71.
[11]	胡地勇. 院前急救与绿色通道联合模式应用于经皮冠状动脉介入治疗急性心肌梗死患者的效果分析[J]. 心血管病防治知识, 2020, 10(11): 23-25.
[12]	白玉存. 临床护理路径在急性心肌梗死病人急诊PCI绿色通道中的应用价值研究[J]. 临床医药文献电子杂志, 2018, 5(58): 99-100.
[13]	施鹏, 郭瑞威, 李世霖. 胸痛中心管理模式与急诊绿色通道在急性ST段抬高型心肌梗死患者院前救治中的对比分析. 中国医师杂志, 2021, 23(1): 81-84.
[14]	姜崇丽, 崔玉顺. 急救护理路径在32例急性冠状动脉综合征急诊PCI绿色通道中的开展效果[J]. 延边大学医学学报, 2020, 43(3): 229-230.
[15]	翟光维, 邢彩霞, 张文媛, 等. 绿色通道与链式流程护理模式在急性心肌梗死救治中的应用[J]. 长江大学学报(自科版)医学下旬刊, 2014, 4(4): 43-45.
[16]	滕玉欢, 杨鸥, 王妍, 等. 不同时间窗对急性心肌梗死患者行冠状动脉介入临床疗效及其预后的影响[J]. 中国老年学杂志, 2023, 43(14): 3336-3338.
[17]	陈湘玉, 沈红, 曹巧兰, 等. 护理路径在急诊冠状动脉介入治疗绿色通道中的效能初探[J]. 护理研究, 2010, 24(9): 790-792.
[18]	蔡瑜. 规范化急救中心通道对老年急性心肌梗死患者抢救效果的影响[J]. 中国乡村医药, 2021, 28(14): 75-76.
[19]	彭丽芳. 临床护理路径在急性心肌梗死患者急救中的应用价值分析[J]. 心血管病防治知识, 2020, 10(29): 69-71.
[20]	冯泽华, 唐邵辉, 谢红珍, 等. 胸痛急救护士对急性心肌梗死救治效率的影响[J]. 齐鲁护理杂志, 2019, 25(2): 56-58.
[21]	孙艳艳, 叶丹. 急性心肌梗死患者院前院内救治衔接流程优化效果观察[J]. 中国现代医药杂志, 2022, 24(7): 87-89.

分组	例数	介入手术室启动-激活时间（min，±s）	介入手术室启动-患者到达时间（min，±s）	患者到达-穿刺时间（min，±s）	住院时间（d，±s）
对照组	100	25.87 ± 1.51	34.39 ± 2.10	12.63 ± 0.30	7.00 ± 5.57
研究组	99	22.05 ± 1.06	28.89 ± 1.00	10.00 ± 0.31	7.05 ± 3.74
t值		2.068	2.369	6.084	-0.075
P值		0.040	0.019	< 0.001	> 0.05

分组	例数	介入手术室启动-激活时间（min，±s）	介入手术室启动-患者到达时间（min，±s）	患者到达-穿刺时间（min，±s）	住院时间（d，±s）
对照组	100	25.87 ± 1.51	34.39 ± 2.10	12.63 ± 0.30	7.00 ± 5.57
研究组	99	22.05 ± 1.06	28.89 ± 1.00	10.00 ± 0.31	7.05 ± 3.74
t值		2.068	2.369	6.084	-0.075
P值		0.040	0.019	< 0.001	> 0.05

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