冠状动脉内支架植入术治疗急性心肌梗死的疗效分析  

Analysis of the Curative Effect of Coronary Stents Implantation in the Treatment of Acute Myocardial Infarction

作　　者：赵丽丽[1] ZHAO Li-li(Department of Cardiovascular Medicine,Tianjin No.4 Central Hospital,Tianjin 300142)

机构地区：[1]天津市第四中心医院心血管内科三病区,天津300142

出　　处：《中国医疗器械信息》2023年第15期103-105,共3页China Medical Device Information

摘　　要：目的:分析心脏冠状动脉内支架植入术在急性心肌梗死患者中的应用效果。方法:随机在本院接受急性心肌梗死治疗的患者中选取58例作为研究对象,根据患者治疗方式将患者分为观察组(29例,治疗方法为冠状动脉内支架植入术)与对照组(29例,治疗方法为常规溶栓治疗)。结果:观察组患者治疗效果、血流分级更优,治疗时间、治疗后症状缓解时间更短,左心室射血分数更高,治疗后心率、收缩压、舒张压水平改善显著,且并发症发生率较低,与对照组患者存在显著差异,P<0.05。治疗前两组患者心率、收缩压、舒张压水平无明显差异,P>0.05。结论:相比于应用常规溶栓治疗,对于急性心肌梗死患者来说冠状动脉内支架植入术的治疗效果显著。Objective:To analyze the effect of coronary stent(CSI)in patients with acute myocardial infarction(AMI).Methods:In this study,58 patients receiving AMI treatment in our hospital were randomly selected as experimental subjects,and they were divided into observation group(29 cases,treated with cardiac CSI)and control group(29 cases,treated with conventional thrombolytic therapy)according to treatment methods.Results:The observation group had better treatment effect and blood flow grading,shorter treatment time and symptom relief time after treatment,higher left ventricular ejection fraction,significant improvement in heart rate,systolic blood pressure,and diastolic blood pressure levels after treatment,and a lower incidence of complications compared to the control group,with a significant difference(P<0.05).There was no significant difference in heart rate,systolic blood pressure,and diastolic blood pressure levels between the two groups before treatment,P>0.05.Conclusion:Compared with conventional thrombolytic therapy,the therapeutic effect of cardiac CSI in patients with AMI is significant.

关 键 词：冠状动脉内支架植入术 急性心肌梗死 血流分级 左心室射血分数 

分 类 号：R542.2[医药卫生—心血管疾病]