急性ST段抬高型心肌梗死的急诊介入治疗与择期介入治疗预后对比

Prognosis comparison of emergency and selective interventional therapy for acute ST-segment elevation myocardial infarction

目的探讨急性ST段抬高型心肌梗死急诊介入治疗与择期介入的治疗预后效果。方法对急诊介入组与择期介入组急性ST段抬高型心肌梗死患者的临床资料进行回顾性分析，急诊介入组于发病6-12h内给予经皮冠状动脉介入治疗；择期介入组于发病7～10d后择期给予经皮冠状动脉介入治疗。记录并分析两组患者随访情况。结果急性介入组患者心脏不良事件发生率为7．41％，显著低于择期介入组患者心脏不良事件发生率（25．71％），差异有统计学意义（P〈0．05）。结论应准确掌握急性ST段抬高型急性心肌梗死急诊介入治疗相关要求，对符合条件患者尽快实施介入手术，保障其预后及生活质量。

Objective To investigate the prognosis effect of emergency and selective interven- tional therapy on acute ST-segment elevation myocardial infarction. Methods To retrospectively analyze the clinical data of acute ST-segment elevation myocardial infarction patients who were divided into emer- gency intervention group and selective intervention group. The emergency intervention group received per- cutaneous coronary intervention at the onset of 6 - 12 h. Recorded and analyzed the follow-up station of the two groups. Results The cardiac events rate was 7.41% in emergency intervention group, and it was significantly lower than that in the selective intervention group （25.71% ）, the difference was statisti- cally significant （ P 〈 0. 05 ）. Conclusions We should accurately grasp the relation indication of the e- mergency intervention for acute ST-segment elevation acute myocardial infarction and to give the operation as soon as possible, to protect their prognosis and quality of life.