ST段抬高型AMI老年患者溶栓成功后应用补救性PCI的疗效分析  

The Clinic Effect Analysis of STEMI Aged Patients Cured by Resure PCI after Thrombolysis Application

作　　者：郭晓敏[1] 

机构地区：[1]南京医科大学第二附属医院急诊科,南京210011

出　　处：《航空航天医学杂志》2011年第7期811-812,814,共3页Journal of Aerospace medicine

摘　　要：目的:分析在急诊科ST段抬高型急性心肌梗死(STEMI)老年患者静脉溶栓成功后应用补救性冠状动脉介入治疗(PCI)的临床疗效。方法:回顾性分析2008-01～2010-12治疗的90例急性STEMI患者,均在静脉溶栓后予以补救性PCI治疗,按年龄不同分为研究组和对照组:研究组,45例,年龄>70岁;对照组,45例,年龄<70岁。比较两组在临床疗效和不良反应的差异。结果:与观察组患者比较,研究组患者在住院死亡、LVEF和WMSI上存在明显差异(P<0.05);而在平均住院时间、再次梗死率和LVd指标上未见明显差异(P>0.05);而在PCI术后颅内出血、消化道出血、血尿等不良反应发生率上,两组未见差异(P>0.05)。结论:静脉溶栓成功后应用补救性PCI在对于老年STEMI患者具有显著的临床疗效和较高的安全性。Objective：To analysis the clinic effect analysis of STEMI aged patients in emergency department cured by resure PCI after intravenous thrombolysis application.Methods：A total of 90 STEMI aged patients were divided into two groups,control group and therapy group,according the age.All patients were given resure PCI after intravenous thrombolysis application.The patients in control group were less 70 years old,and The patients in therapy group were more 70 years old.Each group had 45 patients.The differences of the clinic effect and adverse reactions were compared between two groups.Results：Compared to control group,the death in-hospital rate,LVEF and WMSI were obviously different to therapy group（P0.05）,and the average in-hospital duration,recurent MI rate and LVd were no different to therapy group（P0.05）.The adverse reactions,such as intracranial hemorrhage,hemorrhage of digestive tract,hematuresis,were no different to therapy group（P0.05）.Conclusions：The therapy of STEMI aged patients in emergency department cured by resure PCI after intravenous thrombolysis application had wonderful clinic effect and safty.

关 键 词：补救性PCI ST段抬高型急性心肌梗死 静脉溶栓治疗 老年 

分 类 号：R542.22[医药卫生—心血管疾病]