急性ST段抬高型心肌梗死静脉溶栓再通的患者采取择期PCI术治疗探讨  

Clinical effect of selective percutaneous coronary intervention in patients with acute ST-elevation myocardial infarction treated by intravenous thrombolysis for recanalization

作　　者：解永芳 

机构地区：[1]云南省大理州人民医院,云南大理671000

出　　处：《心血管病防治知识（学术版）》2014年第9期55-57,共3页Prevention and Treatment of Cardiovascular Disease

摘　　要：目的对择期PCI术治疗急性ST段抬高型心肌梗死静脉溶栓再通的患者的效果进行探讨,为日后的临床治疗提供参考。方法选择2008年5月-2012年6月前来我院治疗的急性ST段抬高型心肌梗死静脉溶栓再通的患者150研究对象,通过随机的方式分为观察组及对照组,观察组患者接受择期PCI术治疗,对照组患者采用常规方式治疗,观察组及对照组患者在出院后,均给予β受体阻滞剂、血管紧张素转化酶抑制剂或血管紧张素受体阻滞剂、氯吡格雷、阿司匹林、他汀类等药物的巩固,通过随访,观察患者的出院康复情况,随访时间设定在6个月。结果观察组患者在接受择期PCI治疗以后,心脏不良事件发生的患者较少,心血管事件明显降低;对照组患者的情况并不理想。结论对急性ST段抬高型心肌梗死静脉溶栓再通的患者应用择期PCI术治疗,能够取得一个较为积极的临床效果,减少患者病痛的同时,还可以对患者的日后生活产生较大的积极意义。Objective To investigate the clinical effect of selective percutaneous coronary intervention （PCI） in patients with acute ST -elevation myocardial infarction treated by intravenous thrombolysis for recanalization and to provide a reference for clinical treatment. Methods A total of 150 patients with acute ST -elevation myocardial infarction treated by intravenous thrombolysis for recanalization who were treated in our hospital from May 2008 to June 2012 were included in the study. These patients were randomly divided into observation group and control group. The observation group underwent selective PCI, while the control group received conventional treatment. After discharge, both groups received drugs for consolidating the efficacy, such as β-receptor blocker, angiotensin-converting enzyme inhibitor or angiotensin receptor blocker, clopidogrel, aspirin, and statins. These patients were followed up for six months to evaluate their rehabilitation. Results After selective PCI, few patients in the observation group developed cardiovascular events, with a significantly lower incidence of cardiovascular events compared with the control group. Conclusion Selective PCI has a good clinical effect in patients with acute ST -elevation myocardial infarction treated by intravenous thrombolysis for recanalization. It can reduce the suffering of patients and improve their quality of life.

关 键 词：急性ST段抬高型心肌梗死 静脉溶栓血管再通率 PCI术治疗 

分 类 号：R542.22[医药卫生—心血管疾病]