Construction and effect evaluation of the integrated pre-hospital-post-hospital treatment model for acute myocardial infarction patients
急性心肌梗死患者院前—院内一体化救治模式的构建与效果评价

摘要

目的 评价在急性心肌梗死患者中开展院前-院内一体化救治模式的应用效果。方法 随机选取2025年1月至2025年12月期间我院急诊科接收的急性心肌梗死患者58例作为观察对象，通过随机数字表法分成观察组和对照组，每组各有29例，对照组给予急诊常规救治模式，观察组开展院前院内一体化救治模式，对比分析两组取得的救治效果。结果 救治后,观察组的院前急救时间、转运时间、急诊抢救时间、就诊至球囊扩张时间、PCI等待时间，患者并发症发生率低于对照组，最终获得的抢救成功率高于对照组，（P<0.05）。结论 对急性心肌梗死患者及时开展院前-院内一体化救治模式，可进一步提高急诊抢救效率，缩短各环节救治时间，减少患者并发症发生，减轻疾病危害性。

Abstract

Objective To evaluate the application effect of the pre-hospital-to-hospital integrated treatment model in patients with acute myocardial infarction.
Methods 58 patients with acute myocardial infarction admitted to the emergency department of our hospital from January 2025 to December 2025 were randomly selected as the observation objects. They were divided into the observation group and the control group by random number table method, with 29 cases in each group. The control group received the routine emergency treatment mode, while the observation group implemented the pre-hospital-to-hospital integrated treatment model. The therapeutic effects of the two groups were compared and analyzed.
Results After treatment, the pre-hospital emergency time, transfer time, emergency rescue time, time from consultation to balloon dilation, PCI waiting time, and the incidence of complications in the observation group were lower than those in the control group. The final rescue success rate of the observation group was higher than that of the control group (P < 0.05).
Conclusion   Timely implementation of the pre-hospital-to-hospital integrated treatment model for patients with acute myocardial infarction can further improve the emergency rescue efficiency, shorten the treatment time of each link, reduce the incidence of complications, and alleviate the harmfulness of the disease.