直接经皮冠状动脉介入术治疗急性心肌梗死

Effect of primary percutaneous coronary intervention on acute myocardial infarction

目的观察直接经皮冠状动脉介入术对急性心肌梗死的治疗效果。方法选取2016年1月至2016年7月急性心肌梗死急诊患者90例,根据治疗方案将其分为两组,每组45例。对照组给予球囊扩张后支架植入治疗,观察组行直接冠状动脉支架植入治疗,比较两组观察指标。结果观察组支架数量、支架长度、支架释放压力、支架直径及手术时间均低于对照组,差异有统计学意义(P<0.05)。结论急性心肌梗死急诊患者采用经皮冠状动脉介入直接支架植入治疗效果理想,值得临床推广应用。

Objective To observe the efficacy of primary percutaneous coronary intervention（ PCI） on acute myocardial infarction（ AMI）. Methods Ninety emergency patients with AMI were selected,and were divided into two groups according to treatment method,with 45 cases in each group. The control group was given stenting after balloon angioplasty,the observation group was treated by coronary stent implantation directly. The observation indexes were compared between the two groups. Results The number of stents,stent length,stent pressure,stent diameter and operative time of the observation group were lower than those of the control group,the differences were significant（ P〈0. 05）. Conclusion The treatment in emergency patients with AMI is ideal,should be widely applied.