急性心肌梗死院前和院内溶栓对比分析  

作　　者：吴俊峰[1] 

机构地区：[1]浙江省义乌市中心医院,322000

出　　处：《浙江临床医学》2017年第9期1690-1691,共2页Zhejiang Clinical Medical Journal

摘　　要：目的分析急性心肌梗死患者院前与院内溶栓的效果。方法收集127例急性心肌梗死患者的临床资料，根据治疗方案将其分为对照组（62例）和观察组（65例），对照组接受院内溶栓治疗，观察组接受院前溶栓治疗，比较两组患者溶栓时间、再灌注心律失常发生率、血管再通率、心脏事件发生率及1年内生存率。结果观察组溶栓时间短于对照组（P〈0．05）；观察组血管再通率、心脏事件发生率优于对照组（P〈0．05）；观察组1年内生存率高于对照组（P〈0．05）；两组再灌注心律失常发生率，差异无统计学意义（P〉0．05）。结论在急性心肌梗死患者治疗过程中，院前溶栓治疗能够显著改善患者的心室功能，提高血管再通率，降低不良心脏事件的发生风险，患者生存率更高，值得推广应用。Objective To analyze the effect of thrombolysis in patients with acute myocardial infarction （ ami ） . Methods The clinical data of 127 cases of patients with acute myocardial infarction （ mi ） were collected and divided into control group （ 62 cases ） and observation group （ 65 cases ） according to the treatment plan. The control group received hospital thrombolysis treatment, the observation group received pre-hospital thrombolysis treatment, two groups of patients with thrombolysis time, incidence of reperfusion arrhythmia, blood vessels, the rate of incidence of heart attacks and 1 year survival rate were compared. Results The thrombolytic time was shorter than the control group （ P〈0.05 ） . The rate of revascularization and cardiac events in the observation group were better than that in the control group （ P〈0.05 ） . The survival rate in the observation group was higher than that in the control group （ P〈0.05 ） . There was no statistically significant difference between the two groups of arrhythmias （ P〉0.05 ） . Conclusion In the treatment of patients with acute myocardial infarction （ mi ） , during the process of pre-hospital thrombolysis treatment can significantly improve ventricular function in patients, improve the rate of blood vessels, reduce the risk of adverse cardiac events, patient survival rate is higher and worthy of popularization and application.

关 键 词：急性心肌梗死 院前溶栓治疗 院内溶栓治疗 治疗效果 

分 类 号：R542.22[医药卫生—心血管疾病]