摘要
目的急性心肌梗死应用急诊介入与溶栓治疗效果情况分析。方法方便选取2018年12月—2019年12月该院诊治100例急性心肌梗死患者,随机分为两组,对照组予以溶栓治疗,研究组予以急诊介入,分析两组临床效果、心功能指标与不良事件情况。结果治疗后,研究组再灌注成功96.00%比对照组高,研究组梗死复发比对照组少,差异有统计学意义(χ~2=10.714、4.433,P<0.05);研究组住院时间(10.62±2.21)d比对照组少,差异有统计学意义(t=7.785,P<0.05);研究组CK(189.75±85.62)U/L比对照组少;研究组左室舒末径(52.18±4.87)mm、左室射血(51.96±5.28)%等比对照组高,差异有统计学意义(t=6.476、7.162、8.746,P<0.05);研究组发生心力衰竭等不良事件6.00%比对照组22.00%少,差异有统计学意义(χ~2=5.316,P<0.05)。结论急性心肌梗死应用急诊经皮冠状动脉介入(PCI),相比溶栓治疗,更能提高再灌注成功率,改善机体心功能指标,降低不良事件及复发发生。
Objective To analyze the effect of emergency intervention and thrombolytic therapy on acute myocardial infarction.Methods The data of 100 patients with acute myocardial infarction diagnosed in the hospital from December 2018 to December 2019 were conveniently selected and randomly divided into two groups.The control group was treated with thrombolysis,and the research group was treated with emergency intervention.The clinical effects and cardiac function of the two groups were analyzed indicators and adverse events.Results After treatment,the reperfusion success of the study group was 96.00%higher than that of the control group,and the recurrence of infarction in the study group was less than that of the control group,the difference was statistically significant(χ2=10.714,4.433,P<0.05);the hospital stay of the study group was(10.62±2.21)d less than the control group,the difference was statistically significant(t=7.785,P<0.05);CK(189.75±85.62)U/L in the study group was less than that in the control group;left ventricular diastolic diameter(52.18±4.87)mm,left ventricular ejection(51.96±5.28)%higher than the control group,the difference was statistically significant(t=6.476,7.162,8.746,P<0.05);adverse events such as heart failure occurred 6.00%in the study group less than 22.00%in the control group,the difference was statistically significant(χ2=5.316,P<0.05).Conclusion Compared with thrombolytic therapy,emergency percutaneous coronary intervention(PCI)in acute myocardial infarction can improve the success rate of reperfusion,improve cardiac function index,and reduce adverse events and recurrence.
作者
赵灿灿
ZHAO Can-can(Department of Cardiology,Liaocheng Central Hospital,Liaocheng,Shandong Province,252000 China)
出处
《中外医疗》
2020年第32期21-23,共3页
China & Foreign Medical Treatment
关键词
急性心肌梗死
急诊介入
溶栓治疗
临床效果
心功能指标
不良事件
Acute myocardial infarction
Emergency intervention
Thrombolytic therapy
Clinical effect
Cardiac function indicators
Adverse events
