急诊冠状动脉介入疗法对急性ST段抬高型心肌梗死患者左心室功能影响.docVIP

急诊冠状动脉介入疗法对急性ST段抬高型心肌梗死患者左心室功能影响 　　[摘要] 目的 分析急诊冠状动脉介入疗法对急性ST段抬高型心肌梗死患者左心室功能的影响。 方法 选取2013年3月～2016年3月期间本院收治的300例急性ST段抬高型心肌梗死患者作为本次的研究对象，依据治疗方案将其分为对照组与观察组，各150例，其中对照组行择期冠状动脉介入治疗，观察组行急诊冠状动脉介入治疗，并对比两组患者经相应治疗方案干预的心脏功能及6 min步行实验结果。 结果 观察组急性ST段抬高型心肌梗死患者经治疗后的左心室充盈类型均显著改善，优于对照组（P0.05），两组的6 min步行实验结果差异具有统计学意义（P0.05）。 结论 急诊冠状动脉介入疗法对急性ST段抬高型心肌梗死患者左心室功能的影响效果显著，可提高患者左室收缩、舒张功能，以此提高患者的生活质量，值得在临床中推广实施。 　　[关键词] 心肌梗死；急性ST段抬高型；急诊；冠状动脉介入疗法；左心室功能 　　[中图分类号] R542.22 [文献标识码] A [文章编号] 1673-9701（2018）07-0013-03 　　[Abstract] Objective To analyze and determine the effect of emergency percutaneous coronary intervention on left ventricular function in the patients with acute ST segment elevation myocardial infarction. Methods 300 patients with acute ST segment elevation myocardial infarction who were admitted to our hospital from March 2013 to March 2016 were selected as the study subjects. According to the treatment plan， the patients were divided into control group and observation group， with 150 patients in each group. The control group was given selective coronary intervention， and the observation group was given emergency coronary intervention. The cardiac function and the results of 6-minute walk were compared between the two groups after the corresponding treatment intervention protocols. Results The left ventricular filling type in the patients with acute ST segment elevation myocardial infarction in the observation group after treatment was significantly improved， which was better than that in the control group（P0.05）. The 6-minute walking test results were significantly different in the two groups， which was statistically significant（P0.05）. Conclusion The effect of emergency percutaneous coronary intervention on the left ventricular function in the patients with acute ST segment elevation myocardial infarction is significant， which can improve the left ventricular systolic and diastolic function， in order to improve the quality of life of patients， which is worthy of clinical prom