经皮冠状动脉介入联合溶栓治疗急性心肌梗死的效果分析  

Effect Analysis of Percutaneous Coronary Intervention Combined with Thrombolytic Therapy in Patients with Acute Myocardial Infarction

作　　者：刘丹凤 Liu Danfeng(Jingyuan County People's Hospital,Baiyin 730600,Gansu Province,China)

机构地区：[1]白银市靖远县人民医院,甘肃白银730600

出　　处：《中国社区医师》2024年第14期43-45,共3页Chinese Community Doctors

摘　　要：目的:分析经皮冠状动脉介入(PCI)联合溶栓治疗急性心肌梗死(AMI)的效果。方法:选取2021年1月—2023年9月白银市靖远县人民医院收治的64例AMI患者作为研究对象,采用随机数字表法分为对照组、试验组,各32例。对照组实施静脉溶栓治疗,试验组实施PCI联合溶栓治疗。比较两组临床疗效、并发症发生情况、生活质量。结果:试验组治疗总有效率高于对照组,差异有统计学意义(P=0.023)。试验组并发症总发生率低于对照组,差异有统计学意义(P=0.025)。治疗前,两组躯体、社会、情绪、总健康评分比较,差异无统计学意义(P>0.05);治疗后,两组躯体、社会、情绪、总健康评分高于治疗前,且试验组高于对照组,差异有统计学意义(P<0.05)。结论:PCI联合溶栓治疗AMI的效果显著,可降低并发症发生率,提高患者生活质量。Objective:To analyze the effect of percutaneous coronary intervention(PCI)combined with thrombolytic therapy in patients with acute myocardial infarction(AMI).Methods:A total of 64 patients with AMI admitted to Jingyuan County People's Hospital of Baiyin City from January 2021 to September 2023 were selected as the study subjects.They were divided into control group and experimental group according to random number table method,with 32 cases in each group.The control group received intravenous thrombolytic therapy,and the experimental group received PCI combined with thrombolytic therapy.The clinical efficacy,complications and quality of life in the two groups were compared.Results:The total effective rate of treatment in the experimental group was higher than that in the control group,and the difference was statistically significant(P=0.023).The total incidence of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P=0.025).Before treatment,there was no significant difference in physical,social,emotional,and total health scores between the two groups(P>0.05).After treatment,the physical,social,emotional,and total health scores in the two groups were higher than those before treatment,and the scores in the experimental group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:PCI combined with thrombolytic therapy has a significant effect in the treatment of AMI,and can reduce the incidence of complications and improve the quality of life of patients.

关 键 词：急性心肌梗死 静脉溶栓 经皮冠状动脉介入 

分 类 号：R542.22[医药卫生—心血管疾病]