急诊PCI治疗与急诊溶栓治疗对急性心肌梗死患者BNP及心功能影响评价.docVIP

急诊PCI治疗与急诊溶栓治疗对急性心肌梗死患者BNP及心功能影响评价 　　[摘要] 目的 观察急诊PCI治疗与急诊溶栓治疗对急性心肌梗死患者BNP及心功能的影响。 方法 选取2014年4月～2017年4月期间于本院就诊及治疗的56例急性心肌梗死患者作为研究对象，按照随机数字表法分为两组，每组各有28例患者，对照组患者给予急诊溶栓治疗，观察组患者给予急诊PCI治疗，对比并分析两组患者治疗效果。 结果 观察组治疗之后的脑钠肽（BNP）水平与对照组比较，差异有统计学意义（P0.05），观察组治疗后左侧心室射血分数（LEVF）、左侧心室舒张末径（LVEDD）与对照组比较，差异有统计学意义（P0.05）。 结论 与应用急诊溶栓治疗相比，对急性心肌梗死患者实施急诊PCI治疗的效果更佳，可明显降低患者的BNP，改善患者的心功能。 　　[关键词] 急诊PCI治疗；急诊溶栓治疗；急性心肌梗死；BNP；心功能 　　[中图分类号] R542.22 [文献标识码] B [文章编号] 1673-9701（2017）30-0087-03 　　[Abstract] Objective To observe and explore the effect of emergency PCI and emergency thrombolytic therapy on BNP and cardiac function in patients with acute myocardial infarction. Methods 56 patients with acute myocardial infarction who were diagnosed and treated in our hospital from April 2014 to April 2017 were selected as the subjects. According to the random number table method， the patients were divided into two groups， with 28 patients in each group. Patients in the control group were given emergency thrombolytic therapy， and patients in the observation group were given emergency PCI. The effects of the two groups were compared and analyzed. Results The levels of brain natriuretic peptide（BNP） after treatment in the observation group was compared with that in the control group， and the difference was statistically significant（P0.05）. The left ventricular ejection fraction（LVEF）， left ventricular end diastolic diameter （LVEDD） in the observation group after treatment was compared with those in the control group， and the differences were statistically significant（P0.05）. Conclusion Compared with the application of emergency thrombolytic therapy， the implementation of emergency PCI for the patients with acute myocardial infarction has a better effect， which can significantly reduce the patients BNP， and improve patients cardiac function. 　　[Key words] Emergency PCI； Emergency thrombolytic therapy； Acute myocardial infarction； BNP； Cardiac function 　　急性心肌梗死（acute myocardial infarction，AMI）属于冠状动脉血管发生急性