急性冠脉综合征急诊PCI的初步总结

Preliminary summary of urgent percutaneous coronary intervention of acute coronary syndrome

目的:探讨急性冠脉综合征急诊经皮冠状动脉介入治疗(PCI)的安全性和有效性。方法:本研究52例急性冠脉综合征中16例接受急诊PCI治疗,16例接受择期PCI治疗,20例接受药物治疗。比较3组间住院期间的死亡率、并发症、心绞痛时间、住院时间等的差异。结果:急性冠脉综合征急诊PCI较药物治疗减少了心绞痛消失时间,降低了住院期间的死亡率(P<0.05),较择期PCI显著缩短了心绞痛时间,减少了完全血运重建率(P<0.05),但住院期间的死亡率、并发症无显著性差异。结论:急性冠脉综合征急诊PCI是安全和有效的。

Objective: To study the reliability and effectiveness of urgent percutaneous coronary intervention (PCI) for acute coronary syndrome. Methods: A total of 52 patients with acute coronary syndrome were brought into the study, in which 16 patients underwent urgent PCI, 16 patients underwent delayed PCI, 20 patients accepted pharmacological therapy. Results: Compared with pharmacological therapy urgent PCI significantly decreased the mortality rate and decreased the rate of complete revascularization and shortened the time of angina pectoris abolition (P<0. 05 all). Compared with delayed PCI significantly shortened the time of angina but there was no difference in mortality and complication between two groups during the period of hospitalization. Conclusion: Ugent PCI is safe and effective.