186例急性非ST段抬高心肌梗死患者急诊诊疗状况回顾性分析  

Retrospective analysis of emergency therapy status quo in 186 patients with non - ST segment elevation myocardial infarction

作　　者：刘国斌[1] 陈洁茹[1] 张弋[1] 林飒仪[1] 

机构地区：[1]广州医学院第二附属医院急诊科,510260

出　　处：《中国急救医学》2010年第7期608-610,共3页Chinese Journal of Critical Care Medicine

基　　金：基金项目：广州市卫生局资助项目（No.2008-YB-175）;广东省社会发展领域科技计划资助项目（No.2007-73065）

摘　　要：目的 评价急性非ST段抬高心肌梗死（NSTEMI）患者不同急诊诊疗方式的变化趋势及其疗效.方法 收集2001~2008年我院急诊科就诊的NSTEMI患者186例的临床诊治资料,评价NSTEMI的诊治现状及不同治疗方式的影响.结果在本组资料中,高血压病70.43%,糖尿病31.72%,61.29%的就诊患者既往无心绞痛病史;目前我院急诊治疗NSTEMI的主要方式为药物治疗,但接受经皮冠状动脉腔内介入（PCI） 治疗的患者逐年增加.与无介入干预相比,介入干预有助于减少心绞痛的再发率和降低死亡率,PCI治疗是住院期间不良心血管事件的保护因素（OR 0.27,P〈0.05）.结论 NSTEMI患者合并高血压病、糖尿病的发病率高,在药物治疗的基础上早期介入干预是治疗NSTEMI的有效手段.Objective To analyze the current therapeutic status quo of non - ST segment elevation myocardial infarction patients （NSTEMI） in the emergency room of the Second Affiliated Hospital of Guangzhou Medical College in recent 10 years, Methods The data of 186 cases of NSTEMI were collected. The impact of different treatments was assessed. Results Patients with hypertension were 70. 43 % and diabetes 31.72%, More than 61.29 % of all NSTEMI patients had no history of angina. Drug therapies were the main method in the treatment of NSTEMI at present in my emergency room. However, the number of PCI has been increasing each year. Compared with the patients without PCI, PCI contributed to the decrease of the re - angina and mortality and had a negative correlation with the incidence of cardiovascular events in - hospital（OR 0. 27,P 〈 0. 05） . Conclusion Hypertension and diabetes are more common in the patients with NSTEMI. Drugs associated with early PCI are key therapeutic method in the treatment of NSTEMI.

关 键 词：冠状动脉疾病 危险因素 急诊治疗 回顾性研究 

分 类 号：R540.41[医药卫生—心血管疾病]