心肌梗死介入治疗与保守治疗的长期疗效差异比较

Comparison of Difference in the Long-term Curative Effect of Myocardial Infarction Interventional Treatment and Conservative Treatment

目的比较心肌梗死介入治疗与保守治疗的长期疗效。方法方便选取2011年1月—2012年1月间该院收治的心肌梗死患者140例,随机分成两组,各70例。观察组给予介入治疗,对照组给予保守治疗,比较两组长期疗效。结果观察组前壁心肌梗死患者3年后生存率为96.97%,显著优于对照组P<0.05。观察组前壁心肌梗死患者1年和3年的心脏事件和再住院发生率均显著低于对照组(P<0.05)。两组下壁心肌梗死患者的长期疗效比较差异无统计学意义P>0.05。观察组患者心功能改善长期疗效显著优于对照组P<0.05。结论介入治疗对前壁心肌梗死治疗效果和心功能改善方面优于保守治疗,值得推广应用。

Objective To compare the long-term curative effect of myocardial infarction interventional treatment and conservative treatment. Methods 140 cases of patients with myocardial infarction admitted and treated in our hospital from January 2011 to January 2012 were selected and randomly divided into two groups with 70 cases in each, the observation group were given interventional treatment, the control group were given conservative treatment, the long-term curative effects of the two groups were compared. Results The 3-year survival rate was 96.97% in patients with anterior myocardial infarction in the observation group, which was obviously lower than that in the control group, P〈0.05, the cardiac events in1 year and 3 years and incidence rate of rehospitalization in patients with anterior myocardial infarction in the observation group were obviously lower than those in the control group, P〈0.05, there was no obvious difference in the long-term curative effect between the two groups P〉0.05, the long-term curative effect of cardiac function improvement in the observation group was better than that in the control group, P〈0.05. Conclusion The effect of interventional treatment for anterior myocardial infarction and cardiac function improvement were better than those of the conservative treatment, which is worth promotion and application.