Objective To investigate the application value of cardiac biomarkers point of care testing (POCT) in patients with acute chest pain in emergency department of primary hospitals.Methods Each 200 cases of patients with acute chest pain admitted to our hospital before and after the application of cardiac biomarkers POCT in the emergency department were selected as the control group and the observation group respectively.The initial visit time and the residence time in emergency department were compared between the two groups;the diagnosis time,the time of first dose of anticoagulant medication,and the time of transfer to higher-level hospital for interventional treatment of patients with acute myocardial infarction were compared between the two groups,and were statistically processed.Results After the application of cardiac biomarkers POCT in the emergency department,the initial visit time and the residence time in emergency department of patients with acute chest pain significantly shortened,with statistically significant differences (P＜0.01);the diagnosis time,the time of first dose of anticoagulant medication,and the time of transfer to higher-level hospital for interventional treatment of patients with acute myocardial infarction significantly shortened,with statistically significant differences (P＜0.01).Conclusions The application of cardiac biomarkers POCT in patients with acute chest pain in emergency department of primary hospitals,has significantly shortened the initial visit time and the residence time in emergency department,at the same time makes patients with acute myocardial infarction diagnosed and treated in advance.%目的 探讨心脏标志物床旁即时检测(point of care testing,POCT)在基层医院急诊科急性胸痛患者中的应用价值.方法 选取在急诊科使用心脏标志物POCT前、后就诊的急性胸痛患者各200名作为对照组和观察组,对比两组患者初诊时间、在急诊科停留时间;对比两组中急性心肌梗死患者确诊时间、首服抗凝药物时间、转上级医院介入治疗时间,并进行统计学处理.结果 在急诊科使用心脏标志物POCT后,急性胸痛患者初诊时间、在急诊科停留时间明显缩短,结果比较差异有统计学意义(P＜0.01);急性胸痛患者中急性心肌梗死患者确诊时间、首服抗凝药物时间、转上级医院介入治疗时间明显缩短,结果比较差异有统计学意义(P＜0.01).结论 心脏标志物POCT在基层医院急诊科急性胸痛患者中的应用,使急性胸痛患者初诊时间、在急诊科停留时间明显缩短,同时使急性心肌梗死患者得到了提前诊治.
展开▼
