影响老年急性心肌梗死溶栓治疗的因素分析

Influencing factors analysis of thrombolytic therapy in the treatment of old myocardial infarction patients

目的：分析影响老年急性心肌梗死患者溶栓治疗的临床因素。方法选取2012年4月-2013年5月间我院收治的急性心肌梗死患者60例为研究对象进行回顾性分析，将动脉溶通患者30例作为研究组，未溶通患者30例作为对照组，分析影响溶栓治疗的临床因素。结果结合动脉溶通研究组患者和未成功溶栓患者的临床资料分析对比情况来看，年龄、溶栓就诊时间、心肌梗死部位是对溶通率影响较大的三个共通因素。结论针对老年急性心肌梗死患者的临床溶栓治疗要积极把握年龄、溶栓就诊时间、心肌梗死部位等显著影响因素，做好临床科学决策，把握时机，积极治疗，为挽救患者生命提供切实保障。

Objective To analyze the influencing factors of thrombolytic therapy in the treatment of old myocardial infarction patients. Methods The clinical of 60 cases of acute myocardial infarction patients in our hospital from April 2012 to May 2013 were retrospectively analyzed for the study, 30 cases of dissolved through the artery patients were regarded as the study group, 30 cases of undissolved through the artery patients were regarded as the control group, then a comparative study were fixed, the clinical factors which affected the thrombolytic therapy were analyzed. Results Through the situation analysis and comparison of the combination of the clinical data of melting the artery study group patients and was not successful thrombolysis patients, age, thrombolysis, myocardial infarction were three common factors which had larger influence on the rate of melting through. Conclusion In the thrombolytic therapy of elderly patients who have acute myocardial infarction, the clinical should actively seize the significant factors, age, thrombolysis, myocardial infarction, etc., make good clinical scientific decision-making, seize the opportunity, and take aggressive treatment to provide effective protection to save the lives of patients.