中国典型病例大全

目的 探究急性冠脉综合征（acute coronary syndrome,ACS）患者救治中胸痛中心一体化救治模式的应用效果。方法 以2022年5月1日—2022年11月30日佛山复星禅诚医院应用常规就诊模式接收的40例ACS患者作为对照组，2023年12月1日—2023年5月30日佛山复星禅诚医院应用胸痛中心一体化救治模式接收的40例ACS患者作为观察组，对比两组干预效果。结果 观察组发病到门诊就诊时间（time from onset to outpatient visit,S-TD）、门球时间（door to balloon time,D-T-B）、急诊到导管室时间短于对照组，住院费用高于对照组，不良心血管事件（major adverse cardiovascular events,MACE）发生率低于对照组，差异有统计学意义（P<0.05）。术后1个月后，两组患者心功能指标较入院时均有所改善，且观察组改善更显著，差异有统计学意义（P<0.05）；治疗后，观察组心肌肌钙蛋白I(cardiac troponin I,cTnI)水平高于对照组，脑钠肽（brain natriuretic peptide,BNP）、肌酸激酶同工酶MB型（creatine kinase-MB isoenzyme,CK-MB）水平低于对照组，差异有统计学意义（P<0.05）。结论对ACS患者运用胸痛中心一体化救治模式可取得突出效果，有助于提升患者救治效率，促进心功能恢复。

Objective To explore the application effect of chest pain center integrated treatment mode in patients with acute coronary syndrome(ACS). Methods Forty patients with ACS admitted by Foshan Fosun Chancheng Hospital in routine treatment mode from May 1, 2022 to November 30, 2022 were selected as the control group,and 40 patients with ACS admitted by Foshan Fosun Chancheng Hospital in integrated treatment mode of chest pain Center from December 1, 2023 to May 30, 2023 were selected as the observation group. The intervention effect of the two groups was compared. Results The Time from Onset to Outpatient Visit(S-T-D), Door to balloon time(D-T-B), and the time from emergency to catheterization room in the observation group were shorter than those in the control group, and the hospitalization cost was higher than that in the control group. The incidence of Major Adverse Cardiovascular Events(MACE)was lower than that of the control group, and the difference was statistically significant(P<0.05).One month after the operation, the cardiac function indicators of both groups of patients improved compared with those at admission, and the improvement in the observation group was more significant, with statistically significant differences(P<0.05). After the treatment, the level of Cardiac Troponin I(c TnI)in the observation group was higher than that in the control group, and Brain Natriuretic Peptide(Brain Natriuretic Peptide)The levels of BNP and Creatine Kinase-MB Isoenzyme(CK-MB)were lower than those in the control group, and the difference was statistically significant(P<0.05). Conclusion The application of chest pain center integrated treatment mode for ACS patients can achieve outstanding results, which is helpful to improve the efficiency of treatment, promote the recovery of cardiac function.