急诊冠脉介入治疗231例AMI近期疗效观察

摘要

Objective To evaluate the efficacy of emergent percutaneous coronary intervention (PCI) for Uygur patients with acute myocardial infarction . Methods 231 Uyger patients and 196 ethnic Han patients with acute myocardial infarction were treated by emergent PCI within 12 hour and were followed up for 6-12 months to observe efficacy and complications. The efficacy and complications were compared with the two groups. Results There were 146 patients who had single vessel disease in Uygur group, 85 patients had multi-vessel disease. Ain ethnic Han group, there were 120 patients who had single vessel disease.76 patients had multi-vessel diseas. And there were no significant differences in major clinical characteristics between two groups. Compared to PCI complication,such as mortality, again PCI. Emergency CABG. Cardiogenic shock and arrhythmia, there were no significant differences between two groups ( P>0. 05). Conclusions Emergent PCI in Uygur patients with acute myocardial infarction could provide good short term curative effect and safe and reliable.%目的 探讨急诊直接经皮冠状动脉介入治疗对维吾尔族急性心肌梗死(AMI)患者的临床疗效及安全性.方法 对231例维吾尔族急性心肌梗死患者和196例汉族急性心肌梗死患者在起病12小时内进行急诊经皮冠状动脉内介入治疗,术后即刻行血管造影进行评价,观察住院及随诊期间的情况,比较两组结果.结果 维族组231例患者中,单支病变146例(63％),多支病变85例(37％),汉族组196例患者中,单支病变120例(61％),多支病变76例(39％),两组病例基本临床特征及手术并发症比较:再次PCI、急诊搭桥、心源性休克、心律失常发生病死率等并发症比较,差异无统计学意义(P＞0.05).结论 急诊冠状动脉内介入治疗维吾尔族急性心肌梗死患者不仅有良好的近期临床疗效,而且安全可靠.