静脉溶栓后联合PCI对急性心肌梗死患者的疗效  

Effect of Percutaneous Coronary Intervention in Treating Acute Myocardial Infarction with Thrombolytic Therapy

作　　者：张琼[1] Qiong Zhang(Department of Cardiology,Leshan Shizhong People's Hospital,Leshan,Sichuan 614000,China)

机构地区：[1]乐山市市中区人民医院心血管内科,四川乐山614000

出　　处：《西藏医药》2022年第2期11-13,共3页Tibetan Medicine

摘　　要：目的探讨静脉溶栓联合经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)对急性心肌梗死(AMI)患者的疗效。方法回顾性分析我院2016年1月~2021年4月收治的AMI患者85例,随机分为对照组和观察组。对照组(n=40)采用PCI治疗,观察组(n=45)采用静脉溶栓联合PCI治疗。对比两组患者的治疗效果。结果治疗后,两组患者胸痛、血管梗死再通率、支架植入成功率、心电图ST段下移、心功能的比较,差异有统计学意义;治疗后心脏功能:观察组LVEP 68.39±8.08、LVEDD 37.36±4.21、LVESD 43.19±2.35,对照组57.11±7.32、40.54±5.30、50.26±3.18,组间差异有意义(P<0.05)。结论静脉溶栓后经皮冠状动脉介入联合治疗心肌梗死的效果优于直接PCI治疗。Objective:To investigate the effect of percutaneous coronary intervention(PCI)in treating acute myocardial infarction(A MI)with thrombolytic therapy.Methods:Totally,85 patients with AMI were admitted and treated in our hospital from January 2016 to April 2021.They were randomly divided into control group(n=40)and test group(n=45).Patients in control group were treated with PCI,while patients in test group were treated with PCI after thrombolytic therapy.The treatment outcomes of both groups were compared.Results:After treatment,there were statistically significant differences in chest pain,revascularization rate of vascular infarction,success rate of stent implantation,and ST segment depression.Meanwhile,the test group and control group had statistically significant differences in LVEP,LVEDD,and LVESD[(68.39±8.08 vs.57.11±7.32)],[(37.36±4.21 vs.40.54±5.30)],[(43.19±2.35 vs.50.26±3.18)],respectively(P<0.05).Conclusions:Patients with AMI treated with thrombolysis followed by PCI have superiority to PCI.

关 键 词：AMI 静脉溶栓 PCI 心脏功能 

分 类 号：R542.22[医药卫生—心血管疾病]