对急性心肌梗死进行溶栓后介入治疗的临床干预疗效评析

摘要

Objective:To analyze the clinical intervention effect of interventional therapy on acute myocardial infarction after thrombolysis.Methods:186 patients with acute myocardial infarction were selected.They were divided into two groups,each of 93 cases.The control group was given PCI clinical intervention.The observation group received intravenous thrombolysis first,then the implementation of elective PCI.We compared the two groups of coronary recanalization rate,success rate of stent implantation, mortality,complication rate.Results:The coronary artery recanalization rate of the observation group was significantly better than that of the control group(P<0.05).Conclusion:PCI intervention can significantly improve the coronary reperfusion rate and improve the prognosis of patients with acute myocardial infarction after thrombolytic therapy.%目的：评析对急性心肌梗死进行溶栓后介入治疗的临床干预疗效。方法：收治急性心肌梗死患者186例，分两组，各93例，对照组单纯给予 PCI 临床干预，观察组先实施静脉溶栓，而后实施择期 PCI。对比两组的冠脉再通率、支架植入成功率、死亡率、并发症发生率。结果：观察组PCI后冠脉再通率显著优于对照组(P＜0.05)。结论：对急性心肌梗死进行溶栓后行PCI介入治疗可显著提升冠脉再通率，改善患者的临床预后。