急性心肌梗死急诊溶栓治疗的临床效果探讨

The Clinical Effect of Thrombolytic Therapy for Acute Myocardial Infarction

目的研究急性心肌梗死急诊溶栓治疗的临床效果。方法方便选取该院自2016年9月—2019年2月收治的急性心肌梗死患者120例,以随机数字法将其分为2组,即60例观察组和60例对照组,患者入院后对照组使用常规治疗,观察组在常规治疗同时给予急诊溶栓治疗,对比患者治疗的总有效率,比较患者的胸痛缓解时间、ST段回降时间和住院时间,对患者治疗后的不良事件发生率进行比较。结果疗效对比观察组的95.00%高于对照组的83.33%,差异有统计学意义(χ^2=4.227,P=0.039)。胸痛缓解时间等指标观察组均少于对照组,差异有统计学意义(P<0.05)。治疗后患者的不良事件发生率对比,观察组均低于对照组,差异有统计学意义(P<0.05)。结论急性心梗实施急诊溶栓治疗的临床效果较好,能提升患者的治疗总有效率,降低患者治疗后的不良事件发生率,具有较高临床价值。

Objective To study the clinical effect of emergency thrombolytic therapy for acute myocardial infarction.Methods 120 patients with acute myocardial infarction admitted from September 2016 to February 2019 in the hospital were convenienty selected and divided into 2 groups by random number method,namely 60 cases in the observation group and 60 cases in the control group.The group used conventional treatment,and the observation group was given emergency thrombolytic therapy at the same time as the conventional treatment,compared with the total effective rate of the patient's treatment,compared the patient's chest pain relief time,ST segment decline time and hospitalization time,and the incidence of adverse events after treatment.Results 95.00% of the curative effect comparison observation group was higher than 83.33% of the control group,and the data was significantly different(χ^2=4.227,P=0.039).Chest pain relief time and other indicators were less in the observation group than in the control group,and the data was statistically significantly different(P<0.05).After treatment,the incidence of adverse events was compared between the observation group and the control group,and the data was statistically significantly different(P<0.05).Conclusion The clinical effect of acute thrombolytic therapy for acute myocardial infarction is better.It can improve the overall treatment efficiency of patients and reduce the incidence of adverse events after treatment.It has high clinical value.