急性心肌梗死患者应用急诊冠状动脉支架的临床效果以及安全性分析  

The Clinical Effect and Safety of Emergency Coronary Stents in Patients with Acute Myocardial Infarction

作　　者：夏晓虹[1] 刘永华[1] 张宁[1] XIA Xiao-hong;LIU Yong-hua;ZHANG Ning(Dalian Central Hospital,Liaoning Dalian 116033)

机构地区：[1]大连市中心医院,辽宁大连116033

出　　处：《中国医疗器械信息》2021年第5期90-92,共3页China Medical Device Information

摘　　要：目的:对急诊冠状动脉支架在急性心肌梗死患者治疗上的效果及安全性进行分析。方法:将本院急诊科收治的80例心肌梗死患者,按照随机方式将其分为对照组和观察组,各40例,将常规急诊溶栓治疗应用于对照组,将冠状动脉支架置入治疗应用于观察组。结果:对照组再通率低于观察组,相比观察组,更容易出现心脏衰竭、心绞痛以及心肌梗死等症状的复发,两组之间的比较在统计学上具有差异性,P<0.05。对照组患者出现心脏衰竭、心绞痛、再发心肌梗死和住院病死率明显高于观察组,两组之间比较在统计学上具有差异性,P<0.05。结论:将冠状动脉支架置入法应用于急性心肌梗死患者治疗中,能够增加梗死血管再次流通概率,提高治疗效果,安全性较高。Objective:To analyze the efficacy and safety of emergency coronary stent in the treatment of acute myocardial infarction.Methods:80 patients with myocardial infarction in emergency department of our hospital were randomly divided into control group and observation group,40 cases in each group.The conventional emergency thrombolytic therapy was applied to the control group,and the coronary stent implantation therapy was applied to the observation group.Results:The rate of recanalization in the control group was lower than that in the observation group.Compared with the observation group,the recurrence of heart failure,angina pectoris and myocardial infarction was more likely to occur.There was a statistical difference between the two groups(P<0.05).The rate of heart failure,angina pectoris,recurrent myocardial infarction and hospitalization in the control group was significantly higher than that in the observation group.The comparison between the two groups was statistically different,P<0.05.Conclusion:The application of coronary stent implantation in the treatment of acute myocardial infarction can increase the probability of re circulation of infarcted blood vessels,improve the treatment effect,and have a high safety.

关 键 词：急性心肌梗死 冠状动脉支架 临床效果 

分 类 号：R542.22[医药卫生—心血管疾病]