急诊冠状动脉内支架置入术对急性前壁心肌梗死患者疗效及预后的影响

Effect and Prognosis of Emergency Coronary Stent Implantation in Patients with Acute Anterior Wall Myocardial Infarction

目的:分析急诊冠状动脉内支架置入术对急性前壁心肌梗死患者疗效及预后的影响。方法:选取2019年5月~2020年5月150例医院收治急性前壁心肌梗死患者,随机分为对照组和观察组各75例。对照组采用静脉溶栓治疗,观察组采用冠脉支架置入术治疗,比较两组患者临床疗效的差异,同时随访1年观察两组患者不良心脏事件发生情况。结果:观察组患者梗死动脉全部复通,治疗有效率为100.0%,对照组患者中仅有53例梗死动脉复通,治疗有效率为70.67%,观察组治疗有效率明显高于对照组(P<0.05);随访1年发现观察组不良心脏事件发生率明显低于对照组(P<0.05)。结论:急诊冠状动脉内支架置入术在急性前壁心肌梗死患者中的临床疗效以及预后均明显优于静脉溶栓治疗,值得推广使用。

Objective:To analyze the effect and prognosis of emergency coronary stent implantation in patients with acute anterior wall myocardial infarction.Methods:150 patients with acute anterior wall myocardial infarction admitted to a hospital from May 2019 to May 2020 were selected and randomly divided into two groups.The control group was treated with intravenous thrombolysis and the observation group was treated with coronary stent implantation.The difference of clinical efficacy between the two groups was compared,and the occurrence of adverse cardiac events in the two groups was observed during 1 year of follow-up.Results:All of the 75 patients in the observation group had infarction artery recanalization,and the effective rate was 100.0%.Among the 75 patients in the control group,there were only 53 patients with infarction artery recanalization,and the effective rate was 70.67%.The effective rate of the observation group was significantly higher than that of the control group(P<0.05).The incidence of adverse cardiac events in the observation group was significantly lower than that in the control group after 1 year of follow-up(P<0.05).Conclusion:The clinical effect and prognosis of emergency coronary stent implantation in patients with acute anterior wall myocardial infarction are obviously better than those of intravenous thrombolysis,which is worthy of promotion and application.