院前急救措施对急性心肌梗死患者溶栓疗效的影响

摘要

目的：观察分析院前急救措施对急性心肌梗死（AMI）患者溶栓疗效的影响。方法选取2014年1月～2015年6月我院收治的经院前急救措施处理后入院溶栓治疗的AMI患者60例作为观察组，同期接诊的未经院前急救措施处理而直接入院溶栓治疗的AMI患者60例作为对照组，比较两组患者的临床疗效。结果与对照组比较，观察组冠脉再通率升高，出院前病死率、再灌注心律失常发生率均降低，差异均有统计学意义（P＜0.05）。结论对AMI患者及时采取院前急救措施处理，可以有效的提高冠脉再通率，降低出院前病死率及再灌注心律失常发生率。%ObjectiveTo observe the effect of pre hospital emergency treatment on thrombolysis in patients with acute myocardial infarction (AMI).Methods 60 cases of AMI patients who were treated by pre hospital emergency treatment measures after admission of thrombolytic therapy were selected as the observation group in January 2014 ~ June 2015, and 60 cases of AMI patients who were treated without pre hospital emergency treatment measures and direct admission of thrombolytic therapy were selected as control group during the same period. The clinical curative effect were compared between the two groups.Results Compared with the control group, the coronary reopening rate in the observation group was signiifcantly higher, and the mortality of the patients before discharge and reperfusion arrhythmia incidence was signiifcantly lower, the difference was statistically signiifcant (P<0.05).ConclusionThe pre hospital emergency treatment can improve coronary, reduce the rate of death before discharge and reperfusion arrhythmia.