摘要
目的探讨ST段抬高型心肌梗死（ST-segment elevation myocardial infarction，STEMI）患者就诊至球囊扩张（door-to-balloon，D2B）时间及其影响因素。方法设计问卷调查表收集2012-2013年来我院就诊的STEMI患者相关信息，采用SAS统计软件建立D2B时间合格性（〈90min）和时间及时性（〈60min）Logistic回归模型，筛选相关影响因素。结果我院D2B时间为（78．28±12．56）min，其中确诊-球囊扩张时间为（55．85±5．23）min。年龄、户籍、有无医保、家属是否了解急性心肌梗死（acute myocardial infarction，AMI）是合格性模型的影响因素；年龄、家庭收入、本次发病是否首发、急诊时症状程度分级是及时性模型的影响因素。结论我院多数STEMI患者D2B时间符合规定。高年龄段、经济情况差、对AMI知识不了解患者为D2B时间延长的高危人群。
Objective To find out door-to-balloon time （D2B） and related factors of the patients with ST-segment elevation myocardial infarction （STEMI）. Methods The related information of STEMI patients treated in our hospital during 2012-2013 were collected by qualitative questionnaire. SAS statistical software was used to find out the risk factors of D2B time qualified model （〈90 min） and timeliness model （〈60 min）. Results The D2B time was （78.28±12. 56） min and confirmed-balloon time was （55.85±5.23） min. Age, household register, health insurance, family getting the infor- mation of acute myocardial infarction （AMI） were the related factors of qualified model. Age, economic, the first time occur- ring symptom,symptom classification were the related factors of the timeliness model. Conclusions D2B time of the most STEMI patients in our hospital is good. The patients with old age, poor economic conditions, little knowledge about AMI are more likely to have a long D2B time.
出处
《实用老年医学》
CAS
2014年第4期325-328,共4页
Practical Geriatrics
