探讨经皮冠状动脉介入治疗手术及静脉溶栓两种治疗方式在急性心肌梗死患者中临床疗效.docVIP

探讨经皮冠状动脉介入治疗手术及静脉溶栓两种治疗方式在急性心肌梗死患者中临床疗效 　　【摘要】目的 比较分析经皮冠状动脉介入治疗手术（PCI）与静脉溶栓两种治疗方式在急性心肌梗死（AMI）患者中的临床疗效。方法 选取本院2012年1月～2014年1月收治的76例急性心肌梗死患者，随机将其分成研究组与对照组两组，每组各38例，研究组采用PCI术治疗，对照组采用静脉溶栓治疗，比较两组疗效。结果 研究组部分梗死血管再通率为94.7%，1个月内病死率为2.6%，主要心血管事件发生率为10.5%，与对照组相比差异有统计学意义（P0.05）。研究组LVEF为（52.2±5.7），ST段回落为（0.03±0.01），和对照组相比差异有统计学意义（P0.05）。结论 采用PCI治疗急性心肌梗死患者，可以有效开通部分梗死动脉、降低病死率、改善心功能、临床疗效佳，值得推广应用。 　　【关键词】急性心肌梗死；PCI；静脉溶栓；疗效 　　【中图分类号】R542.2+2 【文献标识码】A 　　Discussion percutaneous coronary interventional 　　therapy （PCI） in intestinal operation 　　of two treatment Method and clinical efficacy of intravenous thrombolytic therapy in patients with acute myocardial infarction 　　HU Jing-tao，LI Hong-hao 　　（Luohe city luohe medical college second affiliated hospital 　　of henan province，Henan Luohe 462300，China） 　　【Abstract】Objective to comparative analysis of percutaneous coronary intervention for the treatment of intestinal operation （PCI） and two kinds of treatment of intravenous thrombolysis in acute myocardial infarction （AMI） in patients with clinical efficacy. 76 cases of acute myocardial infarction patients Methods in our hospital in 2012 January-2014 year in January were randomLy divided into the study group， and control group two groups， 38 cases in each group， the study group with PCI treatment， the control group using intravenous thrombolytic therapy， compared two groups of curative effect. Results the study group part infarction recanalization rate was 94.7%， in 1 months the fatality rate was 2.6%， the major cardiovascular event rate was 10.5%， compared with the control group， the difference was statistically significant （P0.05）. Research group of LVEF （52.2+5.7）， ST segment resolution for （0.03+0.01）， compared with the control group had significant difference （P0.05）. Conclusion the use of PCI in the treatment of patients with acute myocardial infarction， infarct artery opening part can be effectively， reduce the mortality rate， improve heart function， clinical curative eff