STEMI直接PCI与溶栓后PCI临床观察  

Clinical Efficacy Analysis of Acute ST Segment Elevation Myocardial Infarction with Direct PCI and PCI after Thrombolysis

作　　者：刘志强[1] 王志方[1] 赵利培 张芙成[1] 李医博 刘玲玲[1] 张德顺[3] 张有利[4] 李树震 赵晓磊 

机构地区：[1]新乡市中心医院特需一病房,河南新乡453000 [2]新乡市中心医院特需三病房,河南新乡453000 [3]新乡县人民医院心内科,河南新乡453700 [4]辉县市人民医院心内科,河南辉县453600 [5]获嘉县红十字医院心内科,河南获嘉453800 [6]封丘县中医院心内科,河南封丘453300

出　　处：《河南医学高等专科学校学报》2017年第1期8-10,共3页Journal of Henan Medical College

摘　　要：目的观察急性ST段抬高型心肌梗死(STEMI)直接PCI与溶栓后PCI的效果及对预后的影响。方法收集STEMI患者共101例,根据转运时间的长短分为两组:<90 min组(A组)51例,预计转运时间>90 min(B组)50例。A组患者急诊转入后直接行PCI治疗,B组则先溶栓,再转入该院行PCI治疗。比较两组住院期间、发病后1个月、发病后6个月、发病后1 a的主要心血管不良事件发生情况。结果两组单支病变、双支病变、三支及左主干病变对比无统计学差异(P≥0.05);两组D-to-B时间比较无统计学差异。住院期间、发病后1个月、6个月和1 a的随访,两组患者的主要心血管不良事件比较无统计学差异(P>0.05)。结论急性ST段抬高型心肌梗死发病6 h内行直接PCI与溶栓后PCI疗效相当,出血事件两组无显著差别。Objective To investigate the effect of PCI and STEMI after acute ST segment elevation myocardial infarction （PCI） and its effect on the prognosis, and to find a more effective treatment for STEMI. Methods 101 patients with STEMI were collected, and 90 patients were divided into two groups according to the length of the transit time. The estimated time of transit was 90 minutes group （ A group） 51 cases, and 50 minutes （group B） . Patients in group A were transferred to the hospital directly after PCI treatment, patients in group B were treated with thrombolysis, and then transferred to the hospital for PCI treatment. The incidence of major adverse cardiovascular events in the two groups were compared between the groups during the period of hospitalization, 6 months after the onset of the disease and 1 year after the onset of the disease. Results Two sets of single branch lesion, double vessel lesion, three vessel and left main lesion contrast were not significantly different （P 〉0. 05） ; two groups of D- to- B time were not significantly different after hospitalization, morbidity after 1 month, 6 months and 1 year of follow- up , major adverse cardiovascular events in patients of the two groups were not significantly different （P 〉0.05）. Conclusion The acute ST segment elevation myocardial infarction patients with acute myocardial infarction within 6 hours after the direct PCI and thrombolysis PCI efficacy is quite, there is no significant difference between the two groups of bleeding events.

关 键 词：ST段抬高 急性心肌梗死 经皮冠状动脉介入治疗 

分 类 号：R541.4[医药卫生—心血管疾病]