再灌注治疗急性心肌梗死患者的临床研究  

Clinical Study of Reperfusion in the Treatment of Acute Myocardial Infarction

作　　者：夏卫东 张惠兴 李慧斌 XIA Weidong;ZHANG Huixing;LI Huibin(Boluo People’s Hospital,Boluo 516100,China;不详)

机构地区：[1]博罗县人民医院,广东博罗516100 [2]博罗县妇幼保健院

出　　处：《中外医学研究》2020年第21期121-123,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：广东省惠州市科技局立项项目(180530081741894)。

摘　　要：目的:观察再灌注治疗急性心肌梗死(AMI)患者的临床效果。方法:选择2017年2月-2019年12月笔者所在医院接收的80例AMI患者,根据住院先后顺序分为对照组和观察组,各40例。对照组实施常规治疗,观察组在对照组基础上实施再灌注治疗,对比两组临床指标及治疗效果等情况。结果:治疗前两组舒张压、收缩压比较,差异均无统计学意义(P>0.05);治疗后观察组舒张压、收缩压均高于对照组,住院时间短于对照组,差异均有统计学意义(P<0.05);观察组总有效率(97.50%)高于对照组(85.00%),差异有统计学意义(P<0.05);观察组梗死血管再通率高于对照组,差异有统计学意义(P<0.05)。结论:采用再灌注治疗AMI患者具有显著的临床效果,值得进一步推广应用。Objective:To observe the clinical effect of reperfusion in the treatment of acute myocardial infarction.Method:A total of 80 AMI patients received by our hospital from February 2017 to December 2019 were divided into the control group and the observation group according to the sequence of hospitalization,40 cases in each group.The control group was treated with routine therapy,and the observation group was treated with reperfusion therapy on the basis of the control group,and the clinical indexes and treatment efficiency of the two groups were compared.Result:Before treatment,the diastolic blood pressure and systolic blood pressure were compared between the two groups,and the differences were not statistically significant(P>0.05).After treatment,the diastolic blood pressure and systolic blood pressure in the observation group were higher than those of the control group,and the length of stay in hospital was shorter than that of the control group,and the differences were statistically significant(P<0.05).The total effective rate in the observation group(97.50%)was higher than that of the control group(85.00%),and the difference was statistically significant(P<0.05).The recanalization rate of blood vessel in the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Reperfusion therapy for AMI patients has significant clinical effects,which is worthy of further clinical application.

关 键 词：再灌注 急性心肌硬死 血压 治疗效果 血管再通率 

分 类 号：R542.22[医药卫生—心血管疾病]