静脉溶栓在早期急性心肌梗死治疗中的应用效果研究  

Application of Intravenous Thrombolysis in the Treatment of Early Acute Myocardial Infarction

作　　者：吕庆涛 任泽菊 吕庆彬 LYU Qingtao;REN Zeju;LYU Qingbin(Department of Emergency,Xuecheng District People's Hospital,Zaozhuang,Shandong Province,277500 China;Tengzhou Dongguo Central Health Center Maternal and Child Station,Zaozhuang,Shandong Province,277500 China)

机构地区：[1]薛城区人民医院急诊科,山东枣庄277500 [2]滕州市东郭中心卫生院妇幼站,山东枣庄277500

出　　处：《系统医学》2024年第4期67-70,共4页Systems Medicine

摘　　要：目的 分析在早期急性心肌梗死治疗中给予静脉溶栓后的效果。方法 选取2022年1月—2023年1月薛城区人民医院急诊科收治的70例急性心肌梗死患者为研究对象,根据随机数表法将其划分成观察组(静脉溶栓)与对照组(常规治疗),每组35例。比较两组的治疗成效。结果 观察组患者的左心室射血分数高于对照组,且左心室收缩末期内径和左心室舒张末期内径水平低于对照组,差异有统计学意义(P均<0.05)。治疗后与对照组相比,观察组心肌损伤情况更小,并发症总发生率更低,差异有统计学意义(P均<0.05)。观察组不良反应总发生率(0)低于对照组(14.28%),差异有统计学意义(χ^(2)=4.687,P=0.030)。结论 静脉溶栓能够缓解早期急性心肌梗死患者的症状,提高患者生存率,并且减少并发症的发生,是一种有效的治疗方法。Objective To analyze the effect of intravenous thrombolysis in the early treatment of acute myocardial infarction.Methods Seventy patients with acute myocardial infarction admitted to the emergency department of Xuecheng District People's Hospital from January 2022 to January 2023 were selected as the study objects,and were divided into observation group(intravenous thrombolytic therapy) and control group(conventional treatment) according to random number table method,thirty-five cases in each group.The treatment effect of the two groups was compared.Results The left ventricular ejection fraction of the observation group was higher than that of the control group,and the levels of the left ventricular end-systolic diameter and left ventricular end-diastolic diameter were lower than those of the control group,and the differences were statistically significant(all P<0.05).After treatment,compared with the control group,the observation group had smaller myocardial injury and lower overall incidence of complications,and the differences were statistically significant(both P<0.05).The total incidence of adverse reactions in the observation group(0) was lower than that in the control group(14.28%),and the difference was statistically significant(χ^(2)=4.687,P=0.030).Conclusion Intravenous thrombolysis is an effective treatment for early acute myocardial infarction,which can relieve symptoms of patients,improve the survival rate,and reduce the incidence of complications.

关 键 词：静脉溶栓 早期急性心肌梗死 治疗效果 

分 类 号：R542.2[医药卫生—心血管疾病]