溶栓后早期PCI治疗急性ST段抬高型心肌梗死的效果

Effect of early PCI after thrombolysis on acute ST-segment elevation myocardial infarction

目的探讨溶栓后早期行经皮冠状动脉介入(PCI)治疗急性ST段抬高性心肌梗死(STEMI)的效果。方法选择我院收治的64例急性STEMI患者,根据不同治疗方式分为观察组(溶栓后早期PCI)与对照组(溶栓后延迟PCI),各32例。比较两组患者的治疗效果。结果治疗后,两组患者LVMI、RVED/LVED均降低,LVEF均升高,且观察组优于对照组(P<0.05);治疗后,观察组患者左心室正常舒张充盈、TIMI血流分级3级及MBG分级3级的患者占比高于对照组,术后MACE总发生率低于对照组(P<0.05)。结论溶栓后早期行PCI术治疗急性STEMI的效果更好,值得临床推广。

Objective To investigate the effect of early percutaneous coronary intervention(PCI) after thrombolysis on acute ST-segment elevation myocardial infarction(STEMI). Methods A total of 64 patients with acute STEMI admitted in our hospital were selected and divided into observation group(early PCI after thrombolysis) and control group(delayed PCI after thrombolysis) according to different treatment methods, with 32 cases in each group. The treatment effects of the two groups were compared. Results After treatment, LVMI, RVED/LVED decreased and LVEF increased in both groups, and those in the observation group were better than the control group(P<0.05);after treatment, the proportions of patients with normal left ventricular diastolic filling, TIMI blood flow grade 3 and MBG grade 3 in the observation group were higher than those in the control group, while the total incidence of MACE in the observation group was lower than that in the control group(P<0.05). Conclusion Early PCI after thrombolysisin the treatment of acute STEMI has better effect, which is worthy of clinical promotion.