冠心病急性心肌梗死溶栓治疗后心电图和心功能变化情况

Changes of ECG and cardiac function in coronary heart disease patients with acute myocardial infarction after thrombolysis

目的探讨冠心病急性心肌梗死患者溶栓治疗后心电图和心功能变化情况。方法将我院2015年6月至2016年6月收治的冠心病急性心肌梗死患者68例作为研究对象,根据溶栓治疗情况,将其分为再通组50例,未通组18例。比较两组患者的QTD差值、心律失常发生率、TPF值及LVEF值。结果再通组患者QTD差值显著高于未通组,心律失常发生率和TPF值显著低于未通组,差异有统计学意义(P<0.05);两组患者LVEF值比较差异无统计学意义(P>0.05)。结论对冠心病急性心肌梗死患者进行积极的早期溶栓治疗可有效降低QTD,较少心律失常的发生,有利于心室局部和心脏整体舒张功能的恢复,可推广使用。

Objective To investigate the changes of ECG and cardiac function in coronary heart disease patients with acute myocardial infarction after thrombolysis. Methods Sixty-eight cases of patients with acute myocardial infarction treated in our hospital from June 2015 to June 2016 were taken as the research objects, and divided into recanalization group （50 cases） and nonreperfusion group （18 cases） according the treatment results. The differential of QTD, incidence rate of arrhythmia, value of TPF and LVEF were compared between the two groups. Results The differential of QTD in the recanalization group was significantly higher than that of the nonreperfusion group, the incidence rate of arrhythmia and TPF value in the recanalization group were significantly lower than those of the nonreperfusion group （P〈0.05）. The difference of LVEF between the two groups was not significant （P〉0.05）. Conclusion Effective early thrombolytic therapy can reduce the QTD and occurrence of arrhythmia of coronary heart disease patients with acute myocardial infarction, and promote the regional and integrity myocardial diastolic function recovery, which is worthy of popularization.