溶栓后PCI和直接性PCI对急性心肌梗死患者影响分析.docVIP

溶栓后PCI和直接性PCI对急性心肌梗死患者影响分析 　　【摘要】 目的：分析讨论溶栓后PCI和直接性PCI对急性心肌梗死患者的影响。方法：选取2012年1月-2014年12月本院心血管内科接收的急性心肌梗死患者70例作为研究对象，对其临床资料进行回顾性分析。其中，31例患者接受溶栓后经皮冠状动脉介入治疗为溶栓后PCI组，另外39例患者接受直接性经皮冠状动脉介入治疗为直接性PCI组。观察两组患者治疗后疗效、左心室收缩能力的改变情况及并发症发生情况并比较分析。结果：70例患者经临床救治后，病情均得到改善，溶栓后PCI组总有效率为70.97%，直接性PCI组总有效率为97.44%，两组比较差异有统计学意义（P0.05）；两组患者治疗后20、80 d的左室舒张末内径与左心室舒张末期容积指数、左室射血分数较治疗后3 d存在明显改善，但溶栓后PCI组结果差于直接性PCI组，两组比较差异有统计学意义（P0.05）；出院后走访调查结果提示，在复发、心力衰竭等并发症发生上，直接PCI组发生率为10.26%明显低于溶栓后PCI组的35.48%，两组比较差异有统计学意义（P0.05）。结论：经皮冠状动脉介入治疗对急性心肌梗死患者具有很好的治疗效果，相比之下，直接性PCI治疗综合效果优于溶栓后PCI治疗。 　　【关键词】 溶栓后PCI； 直接性PCI； 急性心肌梗死 　　【Abstract】 Objective：To analyze and discuss the effect of PCI after thrombolysis and direct PCI on patients with acute myocardial infarction.Method：70 patients with acute myocardial infarction were selected from January 2012 to December 2014 in cardiovascular department of internal medicine of our hospital as the research object the clinical test，their clinical data were retrospectively analyzed.Among them，31 patients were treated thrombolytic therapy after percutaneous coronary intervention as the after thrombolysis PCI group，the other 39 patients were treated primary percutaneous coronary intervention as the direct PCI group，clinical effect and changes of left ventricular contractile ability as well as complications of two groups after treatment were observed and compared.Result：After clinical treatment，the 70 patients’ condition were greatly improved，after thrombolysis PCI group ’s clinical effective rate was 70.97%，direct PCI group was 97.44%，the difference was statistically significant（P0.05）； two groups patients’ left ventricular end-diastolic diameter，left ventricular end-diastolic volume index and left ventricular ejection fraction in 20 days and 80 days after treatment，were obviously improved than after 3 days treatment，direct PCI group was better than after thrombolysis PCI group，the difference was statistically significant（P0.05）； after discharge，visiting survey results suggeste