急性心肌梗死运用延迟经皮冠脉介入治疗的临床观察

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1、急性心肌梗死运用延迟经皮冠脉介入治疗的临床观黑龙江省第三医院黑龙江北安市164000【摘要】目的：探讨和分析延迟经皮冠脉介入治疗急性心肌梗死的临床疗效,总结其临床价值。方法•：回顾性分析我院心血管科2015年4月〜2016年4月期间收治的90例急性心肌梗死患者临床资料，采用随机数表的方法将所有患者随机分成两组，对照组45例患者给予临床常规溶栓药物进行治疗，观察组45例患者在釆用临床常规溶栓药物进行治疗的同时，联合采用延迟经皮冠脉介入方法进行沿疗。对两组患者的临床疗效进行评价。结果：治疗1周/n，

2、对两组患者进行超声心电图检测，两组患者各项心脏超声指标毡括左室收缩末期内径、左室舒张末期内径和左室射血分数比较差异无统计学意义(P>0.05);治疗6个月后观察组患者左室射血分数较治疗1周后升高，差异有统计学意义(P<0.05);对照组患者左室收缩末期内径、左室舒张末期内径较治疗1周后升高，左室射血分数降低，差异有统计学意义(P<0.05)；观察组患者治疗后左室射血分数明显高于对照组，差异有统计学意义(P<0.05)o结论：延迟经皮冠脉介入治疗急性心肌梗死疗效显著，安全可

3、靠，是治疗急性心肌梗死的有效方法之一，值得临床推广和应用。【关键词】急性心肌梗死；延迟经皮冠脉介入治疗；临床疗效ClinicalObservationofDelayedPercutaneousCoronaryInterventioninPatientswithAcuteMyocardialInfarctionAbstract：Objective：Toinvestigateandanalyzetheclinicalefficacyofdelayedpercutaneouscoronaryinter

4、vention(PCI)inthetreatmentofacutemyocardialinfarction(AMI)andsummarizeitsclinicalvalue.Methods：Theclinicaldataof90patientswithacutemyocardialinfarctionadmittedtoourhospitalfromApril2015toApril2016wereanalyzedretrospectively.AIIpatientswererandomlydiv

5、idedintotwogroups：controlgroup(n=45)Thepatientsinobservationgroupweretreatedwithroutinethrombolyticdrugs,whilethepatientsinobservationgroupweretreatedwithdelayedpercutaneouscoronaryintervention.Theclinicalefficacyofthetwogroupsofpatientswasevaluated.

6、Results：Oneweekaftertreatment,echocardiographywasperformedinthetwogroups.Therewerenosignificantdifferencesincardiacultrasonographicparametersincludingleftventricularend-diastolicdiameter,leftventricularend-diastolicdiameterandleftventricularejectionf

7、ractionbetweenthetwogroups(P(P<0.05).Theleftventricularend-diastolicdiameter(LVEDD)andleftventricularend-diastolicdiameter(LVEDD)ofthecontrolgroupweresignificantlyhigherthanthoseofthecontrolgroup(P<0.05).After6monthsoftreatment,theleftventricul

8、arejectionfraction(P<0.05).Theleftventricularejectionfraction(LVEF)oftheobservationgroupwassignificantlyhigherthanthatofthecontrolgroup(P<0.05)，andthedifferencewasstatisticallysignificant(P<0.05).Conclusion：Delayedpercutaneouscoronaryinterve