120例PCI心肌梗死的治疗分析

Analysis of the Treatment 120 Patients With PCI Myocardial Infarction

目的分析急诊PCI心肌梗死患者的治疗疗效及其影响因素。方法 2014年2月—2016年2月,120例急性心肌梗死患者采用PCI治疗。随访,12个月内术后预后不佳的患者纳入病例组,其余患者纳入对照组,进行因素分析。结果手术全部成功。36例纳入病例组,84例患者纳入对照组。陈旧性心肌梗死、高脂血症、ST段抬高、择期开通非罪犯血管、HR、血管开通时间、Gensini评分成为独立影响因素(P<0.05)。结论重视心率控制,择期处理非罪犯血管,围术期积极控制血脂,缩短血管开通时间。

Objective To analyze the curative effect and influence factors of emergency PCI in patients with myocardial infarction. Methods From February 2014 to February 2016, 120 cases of patients with acute myocardial infarction treated by PCI. Followed up 12 months after surgery in patients with poor prognosis included in the case group, the rest of the patients in the control group, factor analysis. Results The operation was successful in all cases, 36 cases in case group, 84 patients were enrolled in the control group. Myocardial infarction, hyperlipidemia, ST elevation, elective opening non culprit vessels, HR, vascular opening time, Gensini scores become the independent factors （P〈0.05）. Conclusion Pay attention to heart rate control, selective treatment of non criminal vessels, perioperative control of blood lipids, shorten the opening time.