急诊经皮冠状动脉介入治疗急性心肌梗死患者的效果

Effect of emergency percutaneous coronary intervention therapy on patients with acute myocardial infarction

目的探讨急诊经皮冠状动脉介入(PCI)治疗急性心肌梗死患者的效果。方法选取辽宁省健康产业集团铁煤总医院2017年9月至2019年9月收治的66例急性心肌梗死患者作为研究对象,按照偏性掷币法分为对照组与观察组,各33例。对照组采用溶栓治疗方法,观察组采用PCI方法。比较两组患者的心功能指标、生理指标以及不良反应发生情况。结果治疗后,观察组的左室射血分数(LVEF)、左室收缩末期容量指数(LVESVI)以及左室舒张末期容量指数(LVEDVI)均高于对照组,差异有统计学意义(P<0.05);治疗后,观察组的脑钠肽(BNP)以及C反应蛋白(CRP)均低于对照组,差异有统计学意义(P<0.05);治疗后,观察组的不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论急性心肌梗死采用PCI治疗的效果显著,不仅能够改善患者的心脏功能,还能够改善BNP、CRP指标,减少不良反应的发生,值得实施。

Objective To investigate the effect of emergency percutaneous coronary intervention(PCI)therapy on patients with acute myocardial infarction.Methods A total of 66 patients with acute myocardial infarction admitted to Iron Coal General Hospital of Liaoning Health Industry Group from September 2017 to September 2019 were selected as the research objects,they were divided into control group and observation group according to partial coin tossing method,with 33 cases in each group.The control group was treated with thrombolytic therapy,and the observation group was treated with emergency PCI therapy.The cardiac function indexes,physiological indexes and adverse reactions of the two groups were compared.Results After treatment,the left ventricular ejection fraction(LVEF),left ventricular end systolic volume index(LVESVI)and left ventricular end diastolic volume index(LVEDVI)of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).After treatment,the brain natriuretic peptide(BNP)and C-reactive protein(CRP)of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After treatment,the total incidence of adverse reactions in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The effect of emergency PCI therapy for acute myocardial infarction is significant.It can not only improve the patient′s cardiac function,but also improve BNP and CRP indicators,and reduce the occurrence of adverse reactions.It is worthy of implementation.