急性心肌梗死患者行经皮冠状动脉介入治疗的临床特点与预后

摘要

Objective To study the clinical characteristics and prognosis of percutaneous coronary intervention in patients with acute myocar-dial infarction.Methods 83 acute myocardial infarction patients were col ected .Patients were divided into two groups randomly:intravenous thrombolytic therapy group and percutaneous coronary intervention group.Compared the dif erences of brain natriuretic peptide,left ventricular ejec-tion fraction and left ventricular end diastolic diameter of patients before and after treatment for 1 years.Results Before treatment,the brain natri-uretic peptide,left heart shot ejection fraction,left ventricular diastolic end diastolic diameter of the two groups were similar,there was no significant dif erence (P >0.05);after treatment,the brain natriuretic peptide,left heart shot ejection fraction,left ventricular diastolic end diastolic diameter of percutaneous coronary intervention group improved more significantly compared to intravenous thrombolytic therapy group,P <0.05.Conclusion Acute myocardial infarction treated with percutaneous coronary artery interventional therapy on the prognosis of the patients could improve the cardiac function significantly,and it was worthy to be popularized.%目的：研究急性心肌梗死患者行经皮冠状动脉介入治疗的临床特点与预后。方法选取北京阜外心血管病医院急性心肌梗死患者83例作为研究对象。采用随机数字表法将所有患者分为静脉溶栓疗法组（41例）和经皮冠脉介入组（41例）。观察指标为治疗前和治疗后1年患者脑钠肽、左心室射血分数、左心室室舒张末期内径的差异。结果治疗前两组患者脑钠肽、左心室射血分数、左心室舒张末期内径比较，差异无统计学意义（P ＞0.05）；治疗后经皮冠脉介入组患者脑钠肽、左心室射血分数、左心室舒张末期内径均比静脉溶栓疗法组改善显著，差异有统计学意义（P ＜0.05）。结论急性心肌梗死患者行经皮冠状动脉介入治疗对预后有益，可改善其心功能，值得推广。