摘要
目的:观察即时检测(POCT)法检测肌钙蛋白I(cTnⅠ)在急性冠状动脉综合征(ACS)患者急诊救治中的应用情况。方法:回顾性分析江门市人民医院2022年1月至2023年12月期间开展的POCT法检测cTnⅠ的40例急诊ACS患者的基线资料,并将其纳入观察组,采集同时期内常规检测法检测cTnⅠ的急诊救治的40例ACS患者的资料,并纳入对照组,比较两组患者急诊救治相关情况(胸痛时间、急诊滞留时间、首次医疗救治到接受血运重建时间、血清cTnⅠ标本检测时间)、心血管不良事件(非致死性心肌梗死、血运重建、缺血性卒中、心绞痛及心源性死亡)发生情况。结果:观察组患者胸痛时间、急诊滞留时间、首次医疗救治到接受血运重建时间及血清cTnⅠ标本检测时间均对照组较短,差异具有统计学意义(P<0.05);观察组患者心血管不良事件总发生率低于对照组,差异具有统计学意义(P<0.05)。结论:ACS患者院前急救选择POCT法检测血清cTnⅠ,利于缩短患者胸痛时间、急诊滞留时间、血清cTnⅠ标本检测时间等,提高急诊救治效果,对降低心血管不良事件也具有重要意义。
Objective To observe the application of point-of-care testing (POCT) for cardiac troponin I (cTnI) in emergency treatment of patients with acute coronary syndrome (ACS).Methods A retrospective analysis was conducted on the baseline data of 40 emergency ACS patients who underwent POCT for cTnI at The People’s Hospital of Jiangmen from January 2022 to December 2023,and they were included in the observation group.The data of 40 emergency ACS patients who underwent conventional testing for cTnI were collected and included in the control group.The emergency treatment-related situations (time from chest pain to emergency,time spent in the emergency department,time from first medical treatment to receiving revascularization,and time for cTnI specimen testing) and the incidence of cardiovascular adverse events (non-fatal myocardial infarction,revascularization,ischemic stroke,angina,and cardiac death) were compared between the two groups.Results The time from chest pain to emergency,time spent in the emergency department,time from first medical treatment to receiving revascularization,and time for cTnI specimen testing were all shorter in the observation group than those in the control group,with statistically significant differences (P < 0.05).The total incidence rate of cardiovascular adverse events in the observation group was lower than that in the control group,with statistically significant difference (P < 0.05).Conclusion The pre-hospital emergency choice of POCT for detecting serum cTnI in ACS patients is beneficial for shortening the time from chest pain to emergency,the time spent in the emergency department,and the time for cTnI specimen testing,improving the effectiveness of emergency treatment,and is also of great significance for reducing cardiovascular adverse events.
作者
冯炎锋
黄伟军
杨永奕
FENG Yanfeng;HUANG Weijun;YANG Yongyi(The People’s Hospital of Jiangmen,Guangdong Jiangmen 529100)
出处
《深圳中西医结合杂志》
2024年第19期17-20,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
急性冠状动脉综合征
即时检测法
肌钙蛋白Ⅰ
急诊救治
Acute coronary syndrome
Point-of-care testing
Cardiac troponin I
Emergency treatment
