急性心肌梗死患者冠状动脉支架植入术的近期疗效分析

Analysis of Recent Efficacy of Coronary Stenting in Patients with Acute Myocardial Infarction

目的 探讨冠状动脉支架植入术(coronary stenting, CASI)治疗急性心肌梗死(acute myocardial infarction,AMI)的近期疗效。方法 选取2022年5月—2023年2月济宁市第一人民医院急诊内科收治的40例AMI患者,按住院号奇偶数分为两组,各20例。对照组行药物保守治疗,观察组行CASI治疗。比对两组治疗效果。结果 治疗后观察组心功能、凝血功能、心肌受损、血气指标均优于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率(100.00%)高于对照组(70.00%),差异有统计学意义(χ^(2)=4.902,P<0.05)。结论 对AMI患者行CASI疗法,效果更加理想,能改善心功能,保障安全性,达到治疗目的,值得推广。

Objective To investigate the recent efficacy of coronary stenting(CASI)for acute myocardial infarction(AMI).Methods From May 2022 to February 2023,40 patients with AMI who were admitted to the emergency depart‐ment of Jining First People´s Hospital were selected and divided into two groups according to the odd and even num‐ber of inpatient numbers,20 patients in each group.The control group received conservative management,and the ob‐servation group received CASI treatment.Compared the treatment effects between the two groups.Results After treat‐ment,the observation group showed better cardiac function,coagulation function,myocardial damage,and blood gas indicators than the control group,the difference was statistically significant(P<0.05).The effective rate of treatment in the observation group(100.00%)was higher than that in the control group(70.00%),the difference was statistically significant(χ^(2)=4.902,P<0.05).Conclusion CASI therapy for AMI patients is more effective,can improve cardiac function,guarantee safety,and achieve the therapeutic purpose,which is worth promoting.