循环递进式干预在急性心肌梗死患者PCI中的应用价值

Application value of circulatory progressive intervention in PCI of patients with acute myocardial infarction

目的探讨循环递进式干预在急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PCI)中的应用价值。方法采用随机数字表法将2019年6月至2020年6月我院收治的70例AMI患者分为对照组(35例,常规干预)和研究组(35例,在对照组基础上采用循环递进式干预)。比较两组的干预效果。结果干预后,研究组的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分低于对照组(P<0.05)。研究组的心血管不良事件总发生率低于对照组(P<0.05)。干预后,研究组的左心室质量指数(LVMI)、左心室收缩末期容量(LVESV)、左心室舒张末期容量(LVEDV)低于对照组,射血分数(EF)高于对照组(P<0.05)。研究组的护理满意度各项评分及总分显著高于对照组(P<0.05)。结论循环递进式干预应用于AMI患者PCI中,可有效帮助患者缓解负面情绪,提高心功能改善效果,降低心血管不良事件总发生率,提升护理满意度。

Objective To explore the application value of circulatory progressive intervention in percutaneous coronary intervention(PCI)of patients with acute myocardial infarction(AMI).Methods A total of 70 patients with AMI admitted in our hospital from June 2019 to June 2020 were divided into control group(35 cases,routine intervention)and study group(35 cases,circulatory progressive intervention on the basis of the control group)by random number table method.The intervention effects of the two groups were compared.Results After intervention,the scores of Hamilton Anxiety Rating Scale(HAMA)and Hamilton Depression Rating Scale(HAMD)in the study group were lower than those in the control group(P<0.05).The total incidence of cardiovascular adverse events in the study group was lower than that in the control group(P<0.05).After intervention,the left ventricular mass index(LVMI),left ventricular end-systolic volume(LVESV)and left ventricular end-diastolic volume(LVEDV)in the study group were lower than those in the control group,and the ejection fraction(EF)was higher than that in the control group(P<0.05).The scores and total score of nursing satisfaction in the study group were significantly higher than those in the control group(P<0.05).Conclusion Circulatory progressive intervention applied in PCI of AMI patients can effectively help patients relieve negative emotions,improve cardiac function,reduce the total incidence of cardiovascular adverse events,and improve nursing satisfaction.