院前急救联合生脉注射液治疗急性ST段抬高型心肌梗死的临床观察

Clinical Observation of Pre-Hospital First Aid and Shengmai Injection in the Treatment of Acute ST Segment Elevation Myocardial Infarction

目的:探索院前急救使用生脉注射液治疗急性心肌梗死患者的疗效。方法:将60例院前急救的ST段抬高型急性心肌梗死患者分为对照组30例,给予阿司匹林、氯吡格雷、替格瑞洛、阿托伐他汀、雷贝拉唑等西药治疗;研究组30例,在给予对照组用药的同时,在院前急救时给予生脉注射液治疗。观察两组患者血管再通后24h内再灌注心律失常发生率、左心室射血分数(LVEF)情况、肌钙蛋白I(c TnI)水平和住院天数。结果:研究组患者左心室射血分数(LVEF)高于对照组(P<0.05),再灌注心律失常发生率、肌钙蛋白I(cTnI)水平及住院天数低于对照组(P<0.05)。结论:院前急救联合使用生脉注射液对治疗急性ST段抬高型心肌梗死具有良好的治疗效果。

Objective: To observe the effect of pre-hospital first aid and Shengmai injection in treatment of acute myocardial infarction patients. Methods: The 60 cases of pre-hospital first aid ST-elevation acute myocardial infarction patients were divided into two groups: control group(30 cases) were given aspirin, clopidogrel, ticagrelor, atorvastatin, rabeprazole etc(western medicine treatment);Observation group(30 cases) were given medicine with the control group, with pre-hospital first aid and Shengmai injection. The incidence of reperfusion arrhythmia, left ventricular ejection fraction(LVEF), cardiac troponin I(cTnI) level and hospital stay were observed within 24 hours after revascularization. Results: The left ventricular ejection fraction(LVEF) of the study group was higher than that of the control group(P < 0.05), the incidence of reperfusion arrhythmia, the level of cTnI and the length of stay in hospital were lower than that of the control group(P < 0.05). Conclusion: Pre-hospital emergency treatment combined with Shengmai injection has a good effect on acute ST segment elevation myocardial infarction.