老年人与中青年人急性ST段抬高心肌梗死急诊冠脉介入治疗的疗效分析  

Efficacy of Emergent Percutaneous Coronary Intervention for Elder, Young and Middle-aged Patients with Acute ST-Elevation Myocardial Infarction

作　　者：刘蓉昕[1] 曹文勇[2] 

机构地区：[1]吉林省人民医院心内科,吉林长春130021 [2]吉林省榆树市中医院内科,吉林榆树130400

出　　处：《中外医疗》2015年第32期96-97,共2页China & Foreign Medical Treatment

摘　　要：目的 探讨老年人与中青年人急性方法ST段抬高心肌梗死急诊冠脉介入治疗的疗效. 方法 随机选取2013年4月—2015年3月收治的急性ST段抬高心肌梗死患者70例,随机分为两组. 对照组给予急诊冠脉介入治疗,观察组在此基础上给予替罗非班. 结果 术后两组患者血流2、3级分别比较, 差异有统计学意义 （χ2=10.21、11.57,P〈0.05）. 两组患者的ST段均有回落. 两组数据进行比较,差异有统计学意义（P〈0.05）. 结论 应用替罗非班联合急诊冠脉介入治疗老年人与中青年人急性ST段抬高心肌梗死有较好的疗效.Objective To observe the efficacy of emergent percutaneous coronary intervention for elder, young and middle-aged patients with acute ST-elevation myocardial infarction. Methods 70 patients with acute ST-elevation myocardial in-farction admitted to this hospital from April 2013 and March 2015 were randomly divided into control group and observation group. The control group was treated with emergent percutaneous coronary intervention, while the observation group was giv-en tirofiban based on emergent percutaneous coronary intervention. The blood flow situations, ST-segment resolution rate, adverse reaction rate of the two groups were observed. Results After operation, there were statistically significant differences in the rate of TIMI 2 flow, as well as in the rate of TIMI 3 flow, between the two groups, χ2=10.21, 11.57, P〈0.05. ST-seg-ment resolution can be found in both the two groups, but that was more evident in the observation group than in the control group with statistical difference, P〈0.05. The incidence of MACE was higher in the observation group than in the control group, and the difference between them was statistically significant, χ2=7.05, P〈0.05. Conclusion The efficacy of emergent percutaneous coronary intervention for elder, young and middle-aged patients with acute ST-elevation myocardial infarction is good.

关 键 词：心肌梗死 ST段抬高 急诊冠脉介入 

分 类 号：R4[医药卫生—临床医学]