延迟冠脉介入治疗对急性心肌梗死临床疗效分析.docVIP

延迟冠脉介入治疗对急性心肌梗死临床疗效分析 　　[摘要] 目的 分析延迟冠脉介入治疗对急性心肌梗死的临床疗效。方法 方便选择该院自2012年7月―2016年12月收治的98急性心肌梗死患者，将其随机分为两组，对照组和观察组，每组49例。对照组给予常规药物治疗，观察组给予延迟冠脉介入，对比两组患者治疗效果。结果 观察组患者治疗有效率为93.88%明显高于对照组67.35%，两组对比，差异有统计学意义（P0.05）。治疗后，观察组患者LVED、LVDD分别为（40.62±3.65）、（51.97±4.73）mm均明显低于?φ兆椋?46.85±4.32）、（59.38±4.72）mm，相对比差异有统计学意义（P0.05）；观察组患者LVEF（49.06±4.85）%明显高于对照组（41.05±4.39）%，相对比差异有统计学意义（P0.05）。结论 要有效的改善急性心肌梗死患者心功能损伤情况，延迟性经皮冠脉介入治疗是较好的选择。 　　[关键词] 延迟冠脉介入治疗；急性心肌梗死；临床疗效 　　[中图分类号] R542 [文献标识码] A [文章编号] 1674-0742（2017）11（b）-0090-03 　　[Abstract] Objective This paper tries to analyze the clinical effect of delayed coronary intervention on acute myocardial infarction. Methods 98 patients with acute myocardial infarction from July 2012 to December 2016 were convenient selected and were randomly divided into two groups： the control group and the observation group， with 49 patients in each group. The control group was given conventional drug treatment， the observation group was given delayed coronary intervention， and then the therapeutic effect of the two groups were compared. Results The effective rate of treatment in the observation group was 93.88%， higher than that in the control group of 67.35%，The difference was statistically significant（P0.05）. After treatment， the LVED and LVDD of the observation group were （40.62±3.65）mm and （51.97±4.73）mm respectively， significantly lower than those in the control group of （46.85±4.32）mm， （59.38±4.72）mm， so the difference was significant（P0.05）. LVEF was （49.06±4.85）% in the observation group， significantly higher than that in the control group of （41.05±4.39）%， and the difference was significant（P0.05）. Conclusion The delayed percutaneous coronary intervention is a better choice to effectively improve the acute myocardial infarction in patients with cardiac dysfunction. 　　[Key words] Delayed coronary intervention； Acute myocardial infarction； Clinical efficacy 　　溶栓、经皮冠脉介入治疗是缓解急性心肌梗死所致症状的有效方法，此两种方法是早期重要的再灌注方法。溶栓治疗适用于轻症患者，但出血机情况较多[1-2]。而部分患者由于某种原因不能在1