探讨急性ST段抬高型心肌梗死患者急诊经皮冠状动脉介入术后早期ST段变化的临床意义及其安全性  

To Investigate the Clinical Significance and Safety of Early ST Segment Changes in Patients With Acute ST Segment Elevation Myocardial Infarction After Emergency Percutaneous Coronary Intervention

作　　者：李小琴[1] 曹政[1] 石小燕[1] 

机构地区：[1]河南省济源市第二人民医院内一科,河南济源459000

出　　处：《中国继续医学教育》2016年第26期94-95,共2页China Continuing Medical Education

摘　　要：目的探讨急性ST段抬高型心肌梗死经皮冠状动脉介入术后早期ST段变化的临床意义。方法随机选取本院急诊收治的急性ST段抬高型心肌梗死(STEMI)患者36例,分为非回落组和回落组,对两组患者的手术资料进行观察分析。结果在PCI术后,回落组患者的EDV低于非回落组,LVEF高于非回落组,差异具有统计学意义(P<0.05);回落组患者在随访期间其心力衰竭、心律失常和心脏不良事件的发生率均低于非回落组,差异具有统计学意义(P<0.05)。结论急性STEMI行PCI术后早期ST段变化可作为此类患者心肌再灌注效果的评估标准,可作为患者心脏功能和近期预后的评测指标。Objective To investigate the clinical significance of early ST segment changes after percutaneous coronary intervention in patients with acute ST segment elevation myocardial infarction. Methods 36 patients were randomly selected hospital emergency department with acute ST-segment elevation myocardial infarction （STEMI）, divided into groups and non-drop down group, two groups of patients were observed and analyzed surgical data. Results After PCI, down group were significantly lower than non-EDV down group, the LVEF was significantly higher than the latter, the difference was significant （P〈0.05）, down patients during follow-up of adverse heart failure, arrhythmias and heart incidence of events was significantly lower than non-down group, the difference was significant （P〈0.05）. Conclusion Early ST segment changes after PCI in acute STEMI line as these patients myocardial reperfusion effect evaluation criteria can be used as short-term prognosis in patients with heart function and evaluation indicators.

关 键 词：急性ST段抬高型心肌梗死 经皮冠脉介入治疗 ST段变化 临床意义 

分 类 号：R542[医药卫生—心血管疾病]