临床急救对心肌梗死前心绞痛患者的应用及效果探讨  

Investigation of Application and Effect of Clinical Emergency Treatment for Angina Pectoris Patients before Myocardial Infarction

作　　者：徐文胜 苏振磊[1] XU Wensheng;SU Zhenlei(Department of Emergency,Xinjiang Production and Construction Corps 13th Division Red Star Hospital,Hami,Xinjiang Uygur Autonomous Region,839000 China)

机构地区：[1]新疆生产建设兵团第十三师红星医院急诊科,新疆哈密839000

出　　处：《系统医学》2023年第2期70-73,共4页Systems Medicine

基　　金：第十三师科技计划项目(2021B22)。

摘　　要：目的探讨临床急救治疗应用于心肌梗死前心绞痛患者中的临床效果。方法选取2020年9月—2021年9月在新疆生产建设兵团第十三师红星医接受治疗的120例心肌梗死前心绞痛患者的临床资料进行回顾性分析,根据患者治疗方案的不同进行分组。将60例接受常规治疗的患者纳入对照组,在对照组基础上接受急诊治疗的60例患者纳入观察组,分析两组临床疗效、治疗后恢复情况与并发症发生情况。结果观察组总有效率较对照组高(96.67%vs 78.33%),差异有统计学意义(χ^(2)=9.219,P<0.05)。观察组心肌梗死消失时间、心电图恢复正常时间与住院时间均较对照组短,差异有统计学意义(t=6.790、5.000、6.264,P<0.05)。观察组并发症总发生率较照组低(6.67%vs 21.67%),差异有统计学意义(χ^(2)=5.551,P<0.05)。结论予以心肌梗死前心绞痛患者临床急救治疗,可促进临床疗效的提高及心肌梗死症状、心电图指标的改善,可有效预防或减少并发症。Objective To investigate the clinical effect of clinical emergency treatment on angina pectoris before myocardial infarction.Methods The clinical data of one hundred and twenty patients with angina pectoris before myocardial infarction who received treatment in the Xinjiang Production and Construction Corps 13th Division Red Star Hospital from September 2020 to September 2021 were retrospectively analyzed,and the patients were grouped according to different treatment plans.Sixty patients receiving conventional treatment only were included in the control group,and sixty patients receiving emergency treatment on the basis of the control group were included in the observation group.The clinical efficacy,recovery and occurrence of complications of the two groups were analyzed.Results The total effective rate of the observation group was higher than that of the control group(96.67%vs 78.33%),the differences was statistically significant(χ^(2)=9.219,P<0.05).The disappearance time of myocardial infarction,the recovery time of electrocardiogram and the length of hospitalization of the observation group were shorter than those of the control group,the differences was statistically significant(t=6.790,5.000,6.264,P<0.05).The incidence of complication s of the observation group was lower than that of control group(6.67%vs 21.67%),the differences was statistically significant(χ^(2)=5.551,P<0.05).Conclusion Clinical emergency treatment of angina pectoris patients before myocardial infarction can promote the improvement of clinical efficacy,myocardial infarction symptoms,ECG indicators,and effectively prevent or reduce complications.

关 键 词：心肌梗死 心绞痛 临床急救 并发症 

分 类 号：R54[医药卫生—心血管疾病]