溶栓后介入疗法和直接介入疗法治疗急性心肌梗死疗效分析.docVIP

溶栓后介入疗法和直接介入疗法治疗急性心肌梗死疗效分析 　　[摘要] 目的 探究溶栓后介入治疗（PCI）和直接PCI治疗急性心肌梗死（AMI）的疗效。方法 资料随机选取2012年5月―2014年5月该院收治的100例AMI患者，随机分为研究组与对照组，每组50例。对照组行直接PCI治疗，研究组行溶栓后PCI治疗，分析两组治疗效果。结果 研究组术前术后TIMI3级血流与开通率均高于对照组，差异有统计学意义（P0.05），其中研究组术后TIMI3级血流与开通率94.00%、96.00%，均高于对照组78.00%、80.00%，差异有统计学意义（P0.05）；且研究组LVEF（57.28±4.13）%高于对照组（50.14±3.86）%，LVEDD（44.35±2.86）%低于对照组（50.18±3.73）%，差异有统计学意义（P0.05）。结论 溶栓后PCI治疗AMI疗效确切，有利于改善患者心室功能，具有临床应用价值。 　　[关键词] 溶栓后介入治疗；直接介入疗法；急性心肌梗死；治疗；效果 　　[中图分类号] R542.22 [文献标识码] A [文章编号] 1674-0742（2014）11（c）-0055-02 　　[Abstract] Objective To explore the efficacy of percutaneous coronary intervention（PCI） after thrombolytic therapy and direct PCI therapy for the treatment of acute myocardial infarction（AMI）. Methods The data of 100 cases with AMI admitted to our hospital from May 2012 to May 2014 were randomly selected. And the patients were divided into the study group and the control group with 50 cases in each. The control group was treated by direct PCI therapy， while the study group was treated by PCI after thrombolytic therapy. And the treatment effects of the two groups were analyzed. Results Before and after the surgery， the proportion of patients with TIMI flow 3 grade and canalization rate in the study group were higher than those in the control group（P0.05）； after surgery， the proportion of patients with TIMI flow 3 grade and canalization rate in the study group was 94.00%， 96.00%， respectively， higher than 78.00%， 80.00% in the control group （P0.05）， the LVEF of the study group was （57.28±4.13）%， higher than （50.14±3.86）% of the control group， LVEDD was （44.35±2.86）%， lower than （50.18±3.73）% of the control group（P0.05）. Conclusion PCI after thrombolytic therapy in the treatment of AMI has definite effect， which is conducive to improving the ventricular function with clinical application value. 　　[Key words] Interventional therapy after thrombolysis； Direct interventional therapy； Acute myocardial infarction； Treatment； Effect 　　急性心肌梗死（AMI）是冠状动脉急性、持续性缺血缺氧引起