作　　者： (申明伟）; (崔雪林）; (白杨）; (史冬梅）; (陈倩）; (杨超）; (尹秋香）; (巩博文）; (陈新娟）; (郭艳芳）;

机构地区： 新疆兵团第六师奇台医院心内科,新疆奇台831800

出　　处： 《中外医疗》 2017年第21期97-98,101,共3页

摘　　要： 目的观察比较急性心肌梗死患者的冠状动脉介入治疗与静脉溶栓治疗的临床效果。方法方便选取2010年1月—2016年12月该院收治的210例急性心肌梗死患者,其中接受冠状动脉介入治疗105例,分为冠状动脉介入组(A组),接受静脉溶栓治疗105例,分为静脉溶栓组(B组)。比较两组的血管再通率、住院时间、左心室射血分数、左室舒张末期内径、心血管不良反应发生率和90 d病死率。结果 A组血管再通率和LVEF均高于B组;A组的心血管不良反应发生率和90 d病死率均低于B组;A组住院时间少于B组;A组的LVEDd小于B组,且各项比较差异有统计学意义(P<0.05)。结论冠状动脉介入治疗能有效迅速地疏通相应阻塞血管,降低患者病死率,有助于其快速康复。 Objective To observe and compare the short-term effect of emergency interventional therapy and thrombolytic therapy of patients with acute myocardial infarction. Methods 210 cases of patients from January 2010 to December 2016 with acute myocardial infarction admitted and treated in our hospital and divided into two groups with 105 cases in each,the vessel repass rate, length of stay, left ventricular ejection fraction and incidence rate of cardiovascular adverse reactins and 90 d morbidity were compared between the group A(coronary interventional group) and group B(intravenous thrombolysis group) were compared. Results The vessel repass rate and LVEF in the group A were higher than those in the group B,and the incidence rate of cardiovascular adverse reactions and 90 d morbidity in the group A were lower than those in the group B, and the length of stay in the group A was lower than that in the group B, and the LVEDd in the group A was lower than that in the group B, and the differences were obvious(P<0.05). Conclusion The coronary artery interventional therapy can effectively and rapidly dredge blood vessel and reduce the morality of patients, which contributes to the rapid recovery.

关 键 词： 急性心肌梗死 冠状动脉介入 静脉溶栓 近期效果