溶栓治疗急性心肌梗死临床效果观察.docVIP

溶栓治疗急性心肌梗死临床效果观察 　　doi：10.3969/j.issn.1007-614x.2014.2.11 　　摘 要 目的：对溶栓治疗急性心肌梗死临床效果进行观察和分析。方法：收治急性心肌梗死患者75例，对资料进行研究和分析，将患者分为对照组和治疗组两组，对照组25例，治疗组50例，对照组进行常规治疗，治疗组进行尿激酶溶栓治疗，对比分析两组临床治疗效果。结果：对照组8例患者血管再通，观察组37例。对照组心力衰竭7例，心律失常15例，休克5例；观察组心力衰竭2例，心律失常7例，休克2例，两组血管再通率以及并发症发生率差异均具有统计学意义（P0.05）。结论：对急性心肌梗死患者进行尿激酶溶栓治疗能够取得理想的临床治疗效果，降低并发症发生率，缓解和减轻患者痛苦。 　　关键词 溶栓治疗 急性心肌梗死 治疗效果 　　To observe the clinical effect of thrombolytic therapy in acute myocardial infarction 　　Zhang Li 　　Emergency department of Henan Provincial Third Peoples Hospital，450006 　　Abstract Objective：To observe and analyze the clinical effect of thrombolytic therapy in acute myocardial infarction.Methods：From 2012 to January to 2013 October in our hospital，data of 75 patients with acute myocardial infarction were studied and analyzed，the patients were divided into treatment group and control group two groups，25 cases in the control group，50 cases in the treatment group，the control group was given conventional treatment，treatment group of thrombolytic therapy with urokinase，comparative analysis the clinical treatment effect of two groups.Results：Control group in 7 cases of heart failure，15 cases of arrhythmia， 5 cases of shock；Observation group in 2 cases of heart failure，7 cases of arrhythmia， 2 cases of shock，two groups of patients with recanalization rate and complication were statistically significant difference（P0.05）.Conclusion：The urokinase thrombolytic treatment can obtain the ideal clinical therapeutic effect for patients with acute myocardial infarction，reduce the incidence of complications， alleviate and reduce pain of patients. 　　Key words Thrombolytic therapy；Acute myocardial infarction；Treatment effect 　　急性心肌梗死主要由于冠状动脉发生闭塞导致血流中断从而使动脉相关心肌发生缺血以及坏死现象，冠状动脉内形成血栓是主要的引发因素，该病发病突然，病情进展迅速，严重影响患者的身体健康和生命安全，为了使患者病情得到有效改善，必须及早对患者进行治疗，本次研究对溶栓治疗急性心肌梗死临床效果进行观察和分析。 　　资料与方法 　　2012年1月-2013年10月收治急性心肌梗死治疗患者75例，所有患者均经临床确诊，其中右室梗死2例，侧壁合并下壁梗死14例，后壁梗死11例，高侧壁梗死9例，前间壁梗死12例，广泛前壁梗死7例，下壁梗死17例。将患者分为对照组和治疗组，对照组25例，女11例，男14例