急性非ST抬高心肌梗死介入与非介入治疗临床疗效分析

In-hospital Effect of Invasive and Non-Invasive Treatment in Non-ST-Segment Elevation Acute Myocardial Infarction

目的:分析对急性非ST抬高心肌梗死进行介入治疗(PCI)和非PCI的临床疗效.方法:2003年1月～2004年12月共336例急性NSTEMI,回顾性分析对其进行PCI和非PCI的结果.结果:336例病例中,183例PCI成功,153例进行非PCI.PCI成功组中梗后心绞痛33例(18.03%),心功能下降22例(12.02%),死亡16例(8.74%);药物治疗组中梗后心绞痛43例(28.10%),心功能下降32例(20.92%),死亡22例(14.38%).各项相比,梗后心绞痛的发生有显著差异,其余两项无明显差异.结论:PCI可降低梗后心绞痛的发生,但对心功能及死亡率无明显影响,两种治疗方法的优越性有待进一步研究对比.

Objective： To investigate the in - hospital effect of PCI and non - invasive treatment in non - ST segment elevation acute myocardial infarction patients.Methods： 336 patients from Jan 2003 to Dec 2004, 183in PCI group, 153 in drug group, analyze the in - hospital clinical outcome in the two groups. Results： In PCI group, 33（ 18.03% ） had postinfaretion angina, 22（ 12.02% ）had higher Killip class, 16（ 8.74% ） dead. In drug group, 43 （28.10%） had postinfaretion angina, 32（20.92% ） had higher Killip class, 22（ 14.38% ）dead.Conclusion： PCI for patients reduced the angina, but had no evident effect in heart function and mortality rate.