急诊冠脉介入治疗急性心肌梗塞效果探讨

摘要

目的：探讨急诊冠脉介入治疗急性心肌梗塞的临床效果。方法方便选取该院2014年4月—2015年4月收治的急性心肌梗塞患80例,随机分为研究组与对照组患者各40例,对照组予以常规治疗,研究组患者予以常规治疗基础上急诊冠脉介入治疗,对比两组患者症状改善及心电图变化情况。结果研究组患者的胸疼缓解、ST段恢复、心力衰竭改善率分别为92.5%、82.5%、67.5%,高于对照组患者的77.5%、62.5%、42.5%,差异有统计学意义。研究组患者胸痛缓解时间、ST段恢复时间及住院时间分别为(12.4±1.5)h、(18.6±2.4)h、(17.4±1.8)d,均少于对照组患者的(14.5±2.4)h、(20.2±2.7)h、(20.2±2.3)d,差异有统计学意义。治疗后1年,随访两组患者,研究组患者发生心绞痛、心力衰竭、心肌梗死及死亡发生率分别为7.5%、2.5%、0.0%、0.0%,明显低于对照组患者的22..5%、17.5%、12.5%、10.0%,差异有统计学意义。结论急诊冠脉介入治疗急性心肌梗塞能取得显著疗效,可提升临床治疗效果、缩短症状恢复时间、改善患者预后、减低复发及死亡率。值得推广应用。%Objective Discussion emergency coronary intervention for acute myocardial infarction clinical effect.Methods Convenient selection our hospital in April 2014 - April 2015 were treated 80 cases of acute myocardial infarction patients were randomly divided into study group and control group of patients with 40 patients in the control group were given con-ventional treatment, study patients treated with routine treatment based on emergency crown pulse intervention, comparing two groups of patients improved symptoms and ECG changes. Results Study group of patients with chest pain to ease, ST-segment recovery, improve heart failure rates were 92.5%, 82.5%, 67.5%, 77.5% higher than that of patients, 62.5%, 42.5%, the difference was statistically significant. Study patients with chest pain remission time, ST segment recovery time and hospital stay were (12.4 ± 1.5) h, (18.6 ± 2.4) h, (17.4 ± 1.8) d, were less than the control group of patients (14.5 ± 2.4) h, (20.2 ± 2.7) h,(20.2 ± 2.3) d, the difference was statistically significant. 1 year after treatment, follow-up of two groups of patients, the study group of patients with angina pectoris, heart failure, myocardial infarction and death rates were respec-tively 7.5%, 2.5%, 0.0%, 0.0%, significantly lower than the control group of patients 22..5 %, 17.5%, 12.5%, 10.0%, the difference was statistically significant. Conclusion Emergency coronary intervention for acute myocardial infarction can achieve a significant effect, can improve clinical outcomes, shorten recovery time symptoms, improve prognosis, reduce re-currence and mortality. It should be widely applied.