Status Of PCI Treatment Time Management And Analysis Of Related Factors With STEMI Patients

Objecctive: To understand the ST-segment elevation myocardial infarction(STEMI)and percutaneous coronary intervention(PCI)in a third-class hospital of Shihezi from December 1,2017 to November 31,2018.A total of 222 patients status of pre-hospital and hospital emergency time management.Exploring the influencing factors of time management.To provide a theoretical reference for the follow-up intervention to shorten the treatment time of patients with ST-segment elevation myocardial infarction.Methods: 1.Retrospective method: Collecting 222 patients undergoing percutaneous coronary intervention for ST-segment elevation myocardial infarction from December 1,2017 to November 31,2018 in a third-class hospital of Shihezi by consulting medical records,electronic medical records and nursing records.To record the patient's general information,clinical data in detail,the treatment time distribution of each time node in the occurrence of chest pain to hospital admission and PCI to balloon dilation.(1)Pre-hospital emergency time: The pre-hospital emergency time is divided into 2 groups with a limit of 3 h,which is the pre-hospital emergency time?3 h group,and the pre-hospital emergency time >3 h group;(2)Hospital emergency time: To divide the hospital emergency time into 5 time periods,and describing the time distribution of each time period.The Door-to-Balloon time(D2B)was divided into 2 groups with the limit of 90 min,which is D2 B time?90 min group and D2 B time > 90 min group.2.Statistical method: EXCEL established a database,and the original data was imported into SPSS 20.0 statistical software to process the data.Using descriptive statistical analysis to describe the patient's general data and time status;Chi-square test and binary logistic regression were used to explore the influencing factors of pre-hospital and hospital emergency time.Results: Pre-hospital emergency time 1.1 110 cases(49.5%)with pre-hospital emergency time ? 3 h group,112 cases(50.5%)with pre-hospital emergency time> 3 h group;1.2 The pre-hospital emergency time of STEMI patients showed that gender,smoking,PCI history,whether to call 120,whether the first consultation was PCI hospital,medication history,heart disease history,residence and awareness of the disease were statistically different(P <0.05);The results of multivariate binary logistic regression analysis showed that whether to call 120,whether the first consultation was PCI hospital,medication history,place of residence and awareness of the disease were the influencing factors of pre-hospital emergency time.2.Hospital emergency time 2.1 The patient's hospital emergency time was 76(64,89)minutes;2.2 D2 B time ?90 min was 185 cases(83.3%),and> 90 min was 37 cases(16.7%);2.3 The univariate analysis of the patient's hospital emergency time showed that there were statistical differences in gender,drinking,age,ability to pay expenses,and awareness of the disease(P <0.05);The results of multivariate binary logistic regression analysis showed that age,ability to pay expenses and awareness of the disease were the influencing factors of hospital emergency time.Conclusion: 1.Whether to call 120,whether the first consultation is a PCI hospital,medication history,place of residence,and awareness of the disease were the influencing factors of pre-hospital emergency time in STEMI patients;2.Age,ability to pay,and awareness of the disease were the influencing factors of hospital emergency time in STEMI patients;3.The pre-hospital time in this area still needs to be improved;4.The average time of hospital emergency time in this area has reached the requirements of international and domestic guidelines.