急性冠脉综合征急诊介入治疗与药物治疗结果分析

The prognosis of patients with acute coronary syndrome underwent emergency percutaneous coronary intervention and drug treatment

目的分析急性冠脉综合征患者急诊经皮冠状动脉介入治疗及药物治疗的结果。方法2004年1月至2006年1月62例急性冠脉综合征患者施行急诊PCI术,与同期药物治疗的急性冠脉综合征患者68例比较,并随访12个月,比较两组住院死亡率,平均住院时间,远期死亡率,射血分数,再发心梗率。结果PCI组住院死亡率1.6%,平均住院时间(9.8±4.3)d,远期死亡率3.2%,再缺血、再梗死和再闭塞发生率4.8%。结论急诊冠脉介入治疗急性冠状动脉综合征安全有效,有助于改善预后。

Objective To analyze the short-term and long-term prognosis of 62 patients with acute cor- onary sydrome(ACS) underwent emergency pereutaneous coronary intervention(PCI) and 68 patients with ACS underwent drug treatment.Methods Continuous patients with ACS from Jan 2004 to Jan 2006 were enrolled.To analyze the clinical features and the follow-up results of these patients,and the average follow-up time was 12 months.Results Of 62 patients with coronary syndrome(ACS) underwent emergency percutaneous coronary intervention (PCI)in-hospital mortality was 1.6%,and average length of hospital stay was 9.8±4.3 days and the long-term mortality was 3.2%.The rate of major adverse cardiac event was 4.8%.Conclusion Emergency PCI can decrease the clinical events after myocardial infarction,shorten the length of hospital stay,and improve the short-term and long-term prognosis result.Emergency PCI is a sale and efficiency therapeutic measure to ACS,it can conduce to improve prognosis.