冠脉介入治疗对急性心肌梗死患者心功能和血浆B型钠利尿肽的影响  

Effect of coronary intervention on cardiac function and plasma B type natriuretic peptide in patients with acute myocardial infarction

作　　者：陈林[1] CHEN Lin(The Second People＇s Hospital of Qinzhou, Qinzhou 535000, Chin)

机构地区：[1]广西钦州市第二人民医院,广西钦州535000

出　　处：《吉林医学》2018年第5期866-867,共2页Jilin Medical Journal

摘　　要：目的:探讨冠脉介入治疗对急性心肌梗死患者心功能和血浆B型钠利尿肽的影响。方法:选择收治的120例急性心肌梗死患者,随机分为观察组和对照组,对照组采用药物治疗,观察组采用冠脉介入治疗。观察两组患者治疗前后心功能和血浆B型钠利尿肽改变情况。结果:观察组治疗后第7天和治疗后第14天血浆B型钠利尿肽水平分别和对照组比较,差异有统计学意义(P<0.05)。观察组治疗后左心室舒张末期容积、左室收缩末期容积和左室射血分数分别和对照组比较,差异有统计学意义(P<0.05)。结论:冠脉介入治疗能够降低急性心肌梗死患者血浆B型钠利尿肽水平,改善此类患者心功能,效果显著。Objective To explore the effect of coronary intervention on cardiac function and plasma B type natriuretic peptide in patients with acute myocardial infarction. Method 120 patients with acute myocardial infarction were randomly selected and divided into observation group and control group. The control group was treated with medication,and the observation group was treated with coronary intervention. The changes of cardiac function and plasma B type natriuretic peptide in the two groups were observed before and after treatment. Results The levels of plasma B type natriuretic peptide in the observation group were compared with that in the control group at seventh days after treatment and fourteenth days after treatment,the difference was statistically significant（P〈0.05）. The left ventricular end diastolic volume,left ventricular end systolic volume and left ventricular ejection fraction in the observation group were compared with those in the control group after treatment,the difference was statistically significant（P〈0.05）. Conclusion The percutaneous coronary intervention can reduce the level of plasma B type natriuretic peptide in patients with acute myocardial infarction,and improve the cardiac function of these patients,the effect is significant.

关 键 词：冠脉介入 B型钠利尿肽 心功能 心肌梗死 

分 类 号：R542.22[医药卫生—心血管疾病]