急诊PCI治疗ST段抬高急性心肌梗死的临床效果观察

The Clinical Effect of Emergency PCI in the Treatment of ST Segment Elevation Acute Myocardial Infarction

目的:观察和分析急诊PCI治疗ST段抬高急性心肌梗死的临床效果。方法:选择2010年1月-2013年1月于笔者所在医院治疗的病历资料完整的急性ST段抬高型心肌梗死患者125例作为研究对象。将其中实施急诊PCI手术的患者65例作为试验组,实施择期PCI手术的患者60例作为对照组。比较两组患者术后1周和24周左心室射血分数的变化情况、术后24周心功能情况、复发率以及满意率,从而对急诊PCI手术在ST段抬高急性心肌梗死治疗中的临床效果进行综合评定。结果:试验组患者术后1周和24周后的左心室射血分数均显著高于对照组(P<0.05),试验组患者术后24周处于心功能代偿期的患者比例明显大于对照组(P<0.01),试验组术后24周复发率明显低于对照组(P<0.05),试验组满意率显著高于对照组(P<0.01)。结论:急诊PCI手术在ST段抬高型急性心肌梗死的治疗中具有显著的临床效果,并且复发率低,治疗满意度高,具有较高的临床推广价值。

Objective： To observe and analyze the clinical effect of emergency ST in the treatment of PCI segment elevation acute myocardial infarction.Method： 125 patients with acute ST segment elevation myocardial infarction who were treated in our hospital from January 2010 to January 2013 were selected as the research object.65 patients with emergency PCI operation were selected as the experimental group, and 60 patients with selective PCI operation were selected as the control group.The changes of left ventrieular ejection fraction, cardiac function, recurrence rate and satisfaction rate were compared between the two groups after 1 week and 24 weeks after operation, and the clinical effect of PCI operation in ST segment elevation acute myocardial infarction was evaluated.Result： The left ventricular ejection fraction in the experimental group at 1 week and 24 weeks after surgery were significantly higher than those in the control group（P〈0.05）, and the 24 week after operation, the cardiac functional compensation patients were significantly higher than those in the control group（P〈0.01）, the recurrence rate in the experimental group at 24 weeks after surgery was significantly lower than that in the control group（P〈0.05）, the satisfaction rate in the experimental group was significantly higher than the control group（P〈0.01）. Conclusion： Emergency PCI operation in the treatment of ST segment elevation acute myocardial infarction has a significant clinical effect, and the recurrence rate is low, the treatment satisfaction is high, and it has high clinical value.