急性ST段抬高型心肌梗死的急诊介入治疗与择期介入治疗预后比较  

Comparison of prognosis between emergency interventional therapy and elective interventional therapy for acute ST-segment elevation myocardial infarction infarction

作　　者：李成刚 李雅楠 葛茜楠 刘永恒 LI Chenggang;LI Ya′nan;GE Qiannan;LIU Yongheng(Department of Emergency,Hongqi Hospital Affiliated to Mudanjiang Medical College,Heilongjiang Province,Mudanjiang 157000,China;Medical Record Room,Hongqi Hospital Affiliated to Mudanjiang Medical College,Heilongjiang Province,Mudanjiang 157000,China;The First Department of Orthopedics,Hongqi Hospital Affiliated to Mudanjiang Medical College,Heilongjiang Province,Mudanjiang 157000,China)

机构地区：[1]牡丹江医学院附属红旗医院急诊科,黑龙江牡丹江157000 [2]牡丹江医学院附属红旗医院病案室,黑龙江牡丹江157000 [3]牡丹江医学院附属红旗医院骨外一科,黑龙江牡丹江157000

出　　处：《中国当代医药》2022年第35期50-52,56,共4页China Modern Medicine

摘　　要：目的探讨分析急性ST段抬高型心肌梗死的急诊介入治疗与择期介入治疗开展效果及预后情况。方法选取2019年10月至2020年10月牡丹江医学院附属红旗医院急诊科收治的40例急性ST段抬高型心肌梗死患者作为研究对象,按照随机数字表法分为对照组(20例)和观察组(20例),对照组采用择期介入治疗方法开展治疗干预,观察组采用急诊介入治疗方法开展治疗干预。比较两组患者的临床相关指标、心脏功能改善情况及预后阶段不良事件发生情况。结果观察组的症状表现消失时间、心电图恢复正常时间及住院时间均短于对照组患者,差异有统计学意义(P<0.05)。两组患者治疗前的左心室射血分数、左心室舒张末期内径比较,差异无统计学意义(P>0.05)。两组患者治疗后的左心室射血分数高于本组治疗前,左心舒张末期内径低于本组治疗前,差异有统计学意义(P<0.05);观察组患者治疗后的左心室射血分数高于对照组,左心室舒张末期内径低于对照组,差异有统计学意义(P<0.05)。观察组患者预后阶段不良事件总发生率低于对照组患者,差异有统计学意义(P<0.05)。结论与择期介入治疗相比,为急性ST段抬高型心肌梗死患者开展急诊介入治疗干预的效果更为理想,可有效加快患者的预后康复速度,促进心功能恢复,减少不良事件发生概率,值得进行推广应用。Objective To investigate the effect and prognosis of emergency interventional therapy and elective interventional therapy for acute ST-segment elevation myocardial infarction.Methods Forty patients with acute ST-segment elevation myocardial infarction admitted to the emergency Department of Red Flag Hospital Affiliated to Mudanjiang Medical University from October 2019 to October 2020 were selected as research objects and divided into control group(20 cases)and observation group(20 cases)according to random number table grouping method.The control group was treated with elective interventional therapy,and the observation group was treated with emergency interventional therapy.The clinical related indicators,improvement of cardiac function and the occurrence of adverse events in the prognosis stage were compared between the two groups.Results Symptom disappearance time,electrocardiogram recovery time and hospital stay time of observation group were shorter than those of control group,the differences were statistically significant(P<0.05).There were no significant differences in left ventricular ejection fraction and left ventricular end-diastolic inner diameter between two groups before treatment(P>0.05).The left ventricular ejection fraction of two groups after treatment was higher than that before treatment,and the left ventricular end-diastolic diameter of two groups was lower than that before treatment,the differences were statistically significant(P<0.05).The left ventricular ejection fraction of the observation group after treatment was higher than that of the control group,and the left ventricular end-diastolic diameter of the observation group after treatment was lower than that of the control group,the differences were statistically significant(P<0.05).The total incidence of adverse events at the prognosis stage in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion Compared with elective interventional therapy,the effect of emergency

关 键 词：急性ST段抬高型心肌梗死 急诊介入治疗 择期介入治疗 预后 

分 类 号：R542.2[医药卫生—心血管疾病]