急诊介入治疗合并院前心脏骤停急性心肌梗死的临床效果

Clinical effect of emergency interventional treatment for acute myocardial infarction with prehospital cardiac arrest

目的分析合并心脏骤停急性心肌梗死救治中采取急诊介入治疗的临床效果。方法选取2015年2月至2017年9月我院收治的46例急性心肌梗死合并院前心脏骤停患者为研究对象。根据治疗方法的不同将所有患者分为对照组和观察组,各23例。对照组实施溶栓治疗,观察组实施溶栓+急诊介入治疗。比较两组患者的临床效果。结果观察组治疗总有效率为91.30%,明显高于对照组的73.91%(P<0.05)。观察组并发症总发生率为13.04%,明显低于对照组的26.09%(P<0.05)。结论针对急性心肌梗死合并心脏骤停患者实施急诊介入治疗可快速恢复生命体征,并能够有效缓解患者的临床症状,值得临床应用和推广。

Objective To analyze the clinical effect of emergency interventional treatment for acute myocardial infarction patients with prehospital cardiac arrest. Methods Forty-six patients with acute myocardial infarction combined with prehospital cardiac arrest admitted in our hospital from February 2016 to September 2017 were selected as the study objects. All the patients were divided into control group and observation group according to different treatment methods,with 23 cases in each group. The control group was given thrombolytic therapy, and the observation group was treated with thrombolytic therapy＋emergency interventional treatment. The clinical effects of the two groups were compared. Results The total effective rate of the observation group was 91.30%, which was higher than 73.91% of the control group（P〈0.05）. The total incidence of complications of the observation group was 13.04%, which was lower than 26.09% of the control group（P〈0.05）. Conclusion Emergency interventional treatment for acute myocardial infarction patients with prehospital cardiac arrest can rapidly restore vital signs, and effectively alleviate the clinical symptoms of the patients, which is worthy of clinical application and promotion.