经皮冠状动脉介入治疗急性心肌梗死的疗效分析

The Effect of Percutaneous Coronary Intervention on Acute Myocardial Infarction

目的分析经皮冠状动脉介入治疗急性心肌梗死的疗效。方法选取我科2014年3月—2016年12月所诊治的64例急性心肌梗死患者作为研究对象。按照施治方法时机不同,将其分为介入组与择期组。介入组实施急诊介入治疗,择期组进行择期治疗。结果介入组患者的血管再通率高于择期组,且复发率低于择期组;介入组治疗总有效率高于择期组,两组对比,差异具有统计学意义(P<0.05)。结论选择急诊介入诊疗方式,可使患者心肌缺血情况获得有效改善;择期介入诊疗虽然缓解患者心肌缺血的情况比急诊略差。但是却有很好的防止左心室重构的效果。临床应根据患者的实际情况选择介入治疗的时机。

Objective To evaluate the efficacy of percutaneous coronary intervention for acute myocardial infarction. Methods 64 patients with acute myocardial infarction treated in our department from March 2014 to December 2016 were selected as the study objects. According to different treatment methods, the patients were divided into intervention group and selective group. The intervention group received emergency interventional treatment, and the elective group＂ underwent elective treatment. Results The recanalization rate of the interventional group was higher than that of the elective group, the recurrence rate was lower than that in the elective group; The total effective rate of the intervention group was higher than that of the selective group, and the two groups were compared, the difference was statistically significant （P〈O.05）. Conclusion The method of emergency interventional treatment can improve the myocardial ischemia effectively; Although selective interventional treatment can relieve myocardial ischemia, it is slightly worse than emergency treatment. But it has a good effect on preventing left ventricular remodeling. The timing of interventional therapy should be chosen according to the patient＇s actual condition.