中国冶金工业医学杂志

急诊介入治疗急性心肌梗死临床疗效分析

关键词：急性心梗介入溶栓疗效

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出版年,卷(期):页码：2015,32(3):264-265

摘要：

目的探讨急性心肌梗死患者行急诊介入治疗的临床疗效。方法选取2012年4月至2013年4月在我院确诊为急性心肌梗死并行急诊介入治疗的30例患者为观察组，以同期确诊为急性心肌梗死并行溶栓治疗的30例患者为对照组，观察比较两组患者的梗塞冠脉再通率、病死率、住院时间、心血管事件发生率和心脏功能恢复情况。结果观察组梗塞冠脉再通率为967%(29/30)、对照组梗塞冠脉再通率为533%（16/30），两组比较差异有统计学意义（P＜005）；观察组患者的病死率、不良心血管事件发生率均显著低于对照组，住院时间明显短于对照组，而心脏功能恢复情况优于对照组，差异均有统计学意义（P＜005）。结论急诊介入治疗是治疗急性心肌梗死的有效方法，梗塞血管再通率较高、不良心血管事件发生率较低、住院时间缩短、心脏功能恢复情况良好，值得临床推广应用。

关键词：急性心梗；介入；溶栓；疗效

ObjectiveTo discuss the clinical effect of percutaneous coronary intervention for acute myocardial infarctionMethodsIn our department from April 2012 to April 2013,30 cases of acute myocardial infarction with emergency interventional therapy were selected as observation group,another 30 cases with thrombolysis treatment in the same period as control groupThe rate of coronary reperfusion,mortality,and hospitalization time,the incidence of cardiovascular events and cardiac function recovery were observed and compared in two groupsResultsThe rate of coronary reperfusion in observation group was 967% (29/30),in control group was 533% (16/30),there was significant difference (P＜005)In observation group,mortality and the incidence of cardiovascular events were lower,hospitalization time was shorter and cardiac function recovery was better than that in control groupThe difference had statistical significance (P＜005)ConclusionEmergency interventional therapy is an effective treatment for acute myocardial infarctionIt is worthy of clinical application due to higher reperfusion rate,lower the incidence of cardiovascular events,shorter hospitalization time and better cardiac function recoveryKey Words:Acute myocardial infarction；Percutaneous coronary intervention；Clinical effect

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参考文献：

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