梗死前心绞痛的急诊处理  

CLINICAL ANALYSIS OF PRE- INFARCTION ANGINA EMERGENCY

作　　者：李荣杰[1] 梁俊雄[1] 吕博文[1] 莫俊强[1] 赵德明[1] 

机构地区：[1]江门市新会区人民医院,广东江门529100

出　　处：《现代医院》2014年第7期62-63,共2页Modern Hospitals

摘　　要：目的探讨并分析梗死前心绞痛患者的急诊处理要点与方法。方法选取我院自2012年3月～2013年6月期间,急诊科所收治的梗死前心绞痛患者共计60例作为研究对象,按照数字随机表分组方法形成两组：对照组,观察组,每组患者30例。对照组30例患者给予常规治疗,观察组30例患者在常规治疗基础之上,给予阿司匹林合并低分子右旋糖酐注射液进行治疗干预。对两组患者的急诊处理效果进行综合对比与分析。结果观察组患者急性心肌梗死、心律失常、心力衰竭发病率均明显低于对照组,数据对比差异显著,p〈0.05,具有统计学意义。结论梗死前心绞痛患者急诊治疗中,通过扩冠、解痉、抗凝综合治疗方案的实施,对急性心肌梗死发病率有良好的控制价值,缓解心律失常、心力衰竭并发症效果突出,值得推广应用。Objective To study and analyse the key point and method of pre-infarction angina emergency treatment. Methods Patients with pre- infarction angina from the emergency department in our hospital with a total of 60 cases during March 2012 and June 2013 were selected and randomly divided into two groups： the control group and the observation group with 30 patients each.Patients of the control group were given conventional treatment; patients of the observation group were given aspirin combined with low molecular weight dextran injection treatment interventions based on routine treatment. A comprehensive comparison and analysis of the effect of emergency treatment was given on the two groups of patients. Results The incidence of acute myocardial infarction,arrhythmia and heart failure of the observation group was significantly lower than that of the control group statistically（p 〈 0. 05）. Conclusion In terms of emergency treatment of patients with pre- infarction angina,the implementation of CHD,spasmolysis,and anticoagulant treatment has good control value in the incidence of acute myocardial infarction and obvious effect on alleviating heart failure and arrhythmia complication,therefore is worth of being popularized in clinical work.

关 键 词：梗死前心绞痛 急性心肌梗死 急诊处理 

分 类 号：R542.22[医药卫生—心血管疾病]