Study On The Establishment Of Chest Pain Center And The Treatment Effect Of Acute Coronary Syndrome

Objective:To explore the establishment of chest pain center and the treatment effect of acute coronary syndrome.Method: Retrospectively collected on April 1,2014 to March 31,2017,the Second Affiliated Hospital of Nanchang University because of acute chest pain clinic and diagnosed with Acute Coronary Syndrome(ACS)patients,and ultimately do coronary angiography,a total of 452 cases,including 356 males and 96 females,Average age 63.80±12.75 years old.A group of 127 patients with ACS during the opening of the Emergency Green Channel(April 1,2014-March 31,2015)were group A,including 100 males and 27 females.Average age 63.10±13.29 years old;In the process of chest pain center certification,128 patients were group B in the previous year(April 1,2015-March 31,2016),including 97 males and 31 females.Average age 62.86±13.30 years old;after the chest pain center was approved,197 patients were group C in the year after the establishment of chest pain center(April 1,2016-March 31,2017),including 159 males and 38 females.Average age 63.80±12.70 years old.By comparing the general data of the three groups,the first detection of CTnI,BNP,LVEF,Annual hospital mortality,length of stay and hospitalization expenses;And Symptom–FMC(First medical contact)time(S2FMC),FMC-to-B(FMC2B),door-to-balloon(D2B)time Tree main cut-off times,in order to understand the treatment effect of the chest pain center and the patients with ACS,to evaluate the level of green channel construction in the hospital,and further analysis of the D2 B of STEMI years success rate,month distribution trend and success rate of monthly distribution trend;Finally,the correlation between chest pain center and index is analyzed.SPSS 18.0 software was used to establish database and make statistical analysis.The measurement data was expressed in the mean ± standard deviation/ median(quartile spacing[M(Qr)]),and the comparison of the three groups of A,B and C was based on the analysis of variance/non-parametric test.The rank data was compared with the rank sum test.And the counting data was checked by chi-square,and non-parametric correlation analysis was conducted by Spearman rank correlation.P<0.05 was considered to be statistically significant.Result:Through statistical group,the first CTn I was reduced from group A to C,P<0.001,which was statistically significant.Age,gender,first BNP and LVEF,P>0.05,no statistical.When the green channel construction,in the process of chest pain center certification,and chest pain center in ACS treatment effective index,hospital mortality and hospitalization days,D2 B time,D2 B years success rate after the comparative analysis of the P<0.001,there is statistical significance,the hospital mortality and length of stay,D2 B time in the chest pain center decreased significantly after construction,D2 B years success rate increased year by year,with chest pain center construction D2 B time continuous improvement on the monthly in 4,5,7,8 and in March,second time change P > 0.05,no statistical significance,continuous construction change was not significant,while the remaining monthly D2 B time analysis P<0.001,was statistically significant;In the analysis of D2 B monthly rate,the improvement of the rate is increasing with the improvement of the process.However,the clinical prognostic index was 5% after the heart failure or the chest pain center was established,and the three groups were compared with P<0.001,Which significantly improved the clinical prognosis.However,the pre-hospital treatment index S2 FMC,Killip Classification,and P>0.05 were not statistically significant,and the changes were not significant,and the pre-hospital treatment needed to be further improved.After comparison,P=0.001,Which was statistically significant,but increased with the establishment of chest pain center,without the correction of hospitalization expense,further exploration was needed.Conclusion:The establishment of the center of chest pain has had a significant impact on the treatment of ACS,optimized the process,reduced the death rate and shortened the length of hospital stay.After the certification of chest pain center,the annual and monthly international standards of D2 B and D2 B are generally stable.It shows that the establishment of chest pain center can greatly promote the construction of green channel and greatly improve the treatment level of ACS patients.