经皮冠状动脉介入治疗手术(PCI)与静脉溶栓治疗在急性心肌梗死患者中的疗效对比  

Comparison of Percutaneous Coronary Intervention (PCI) and Intravenous Thrombolytic Therapy in Patients with Acute Myocardial Infarction

作　　者：卞申国[1] Bian Shenguo(Nanyang No.1 People's Hospital,Henan Province,Nanyang 473000)

机构地区：[1]河南省南阳市第一人民医院

出　　处：《数理医药学杂志》2019年第12期1762-1763,共2页Journal of Mathematical Medicine

摘　　要：目的:对比分析经皮冠状动脉介入治疗手术(PCI)与静脉溶栓治疗在急性心肌梗死(AMI)患者中临床治疗效果。方法:选取2016年5月~2017年10月某院收治84例急性心肌梗死患者,随机分成观察组与对照组,每组42例。观察组采用经皮冠状动脉介入治疗手术(PCI),而对照组采用静脉溶栓治疗,对比两组患者临床治疗效果。结果:观察组部分梗死血管再通率为95.24%,15d内病死率为4.76%,主要心血管事件发生率为2.38%;对照组部分梗死血管再通率为64.29%,15d内病死率为11.90%,主要心血管事件发生率为14.29%。两组相比,观察组明显优于对照组。治疗期间,观察组不良反应发生率为4.76%,对照组不良反应发生率为35.71%,差异具有统计学意义(P<0.05)。结论:采用PCI治疗比静脉溶栓治疗对急性心肌梗死患者临床疗效更高,PCI可有效降低患者并发症发生率,安全性更高,临床效果更佳,值得推广采用。Objective:To compare the clinical effects of percutaneous coronary intervention(PCI)and intravenous thrombolysis in patients with acute myocardial infarction(AMI).Methods:84 patients with acute myocardial infarction admitted in a hospital from May 2016 to October 2017 were randomly divided into observation group and control group,with 42 cases in each group.The observation group received percutaneous coronary intervention(PCI),while the control group received intravenous thrombolysis.The clinical therapeutic effect of the two groups was compared.Results:In the observation group,the recanalization rate of partial infarcted vessels was 95.24%and the 15-day mortality was 4.76%.The incidence of major cardiovascular events was 2.38%.To compare the two groups,the observation group was better than the control group.The recanalization rate of partial infarction was 64.29%,the 15-day fatality rate was 11.90%,and the incidence of major cardiovascular events was 14.29%.During treatment,the incidence of adverse reactions in the observation group was 4.76%,the incidence of adverse reactions in the control group was 35.71%,and the difference was statistically significant(P<0.05).Conclusion:PCI is more effective than intravenous thrombolysis in patients with acute myocardial infarction.PCI can effectively reduce the incidence of complications in patients,with higher safety and better clinical effect,and is worthy of promotion.

关 键 词：急性心肌梗死 静脉溶栓 PCI 效果 

分 类 号：R542.22[医药卫生—心血管疾病]