急性ST段抬高型心肌梗死临床诊治的研究.docVIP

急性ST段抬高型心肌梗死临床诊治的研究 　　【摘要】目的：研究急性ST段抬高型心肌梗死的临床特点及治疗效果。方法：将我院自2010年5到2013年5月96例患有ST段抬高型急性心肌梗死的患者随机分为两组，分别为对照组和观察组，每组48例。两组患者均进行常规治疗，对照组加用拜阿司匹林、那曲肝素的联合治疗方法，观察组加用拜阿司匹林、那曲肝素和氯吡格雷的联合用药方案，2月后对比观察其疗效并进行分析。结果：96例急性ST段抬高型心肌梗死患者经对症综合治疗后，观察组总效率为93.75%，再通率81.25%；对照组总有效率79.17%，再通率52.08%，两组相比较有显著的临床效果差异（P0.05）。结论：拜阿司匹林、那曲肝素和氯吡格雷的联合用药对治疗急性ST段抬高型急性心肌梗死具有较好疗效明显优于拜阿司匹林和那曲肝素的联合用药疗效，具有患者梗死面积降低，预后良好等特点，值得临床推广应用。 　　【关键词】非典型急性心肌梗死 特点 治疗 研究 　　Study on the elevation myocardial infarction clinical diagnosis and treatment of acute ST segment 　　Fan Xiaolin 　　（Sichuan Lizhou District Hospital of traditional Chinese medicine； Guangyuan 628003） 　　【Abstract】 Objective： To study the clinical characteristics and therapeutic effect of acute ST segment elevation myocardial infarction. Methods： in our hospital from 2010 5 to 2013 May 96 patients were randomly assigned patients with ST segment elevation acute myocardial infarction into two groups， which were control group and observation group， each group of 48 cases. Two groups of patients were treated with combination therapy， the controlgroup， aspirin， heparin， observation group were treated with combination aspirin， heparin and clopidogrel in Nagqu， the curative effect was observed and compared after February. Results： 96 patients with acute ST segment elevation myocardial infarction patients after symptomatic treatment， the observation group the total efficiency is 93.75%， the reperfusion rate was 81.25%； the control group total effectiveness 79.17%， recanalization rate was 52.08%， compared with two groups havesignificant difference inclinical effect（P0.05）. Conclusion： combined use of aspirin， heparin and clopidogrel， with combination therapy efficacy better curative effect is obviously superior toaspirin and Nagqu heparin in the treatment of acute ST segment elevation acutemyocardial infarction，patients withinfarction area decreased， with good prognosis， it is worthy of clinical application.Study on the treatment of infarction 　　【keyword】