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目的观察急性ST段抬高型心肌梗死患者(STEMI)在3h内行瑞替普酶溶栓与急诊PCI治疗对左心功能的影响。方法选取我院急诊97例STEMI患者作为研究对象,溶栓组3h内给予瑞替普酶溶栓治疗,PCI组3h内行急诊经皮冠状动脉介入(PCI)治疗,观察治疗前后左心功能指标的变化。结果两组患者治疗后左心功能相关指标比较,差异无统计学意义(P>0.05)。结论 3h内行药物溶栓与急诊PCI均能改善急性ST段抬高型心肌梗死患者左心功能,各医院应根据需要选择再灌注方案,在没有条件直接行PCI术的医院可进行溶栓,并在合适时机行PCI术,最大程度延缓心室重构和恢复缺血心肌。
Objective To observe the effects of thrombolytic therapy with reteplase and emergency PCI on left ventricular function in patients with acute ST-segment elevation myocardial infarction (STEMI) within 3 hours. Methods A total of 97 STEMI patients in our hospital were enrolled in this study. Thrombolytic therapy was given within 3 hours after thrombolytic therapy. Emergency PCI was performed within 3 hours after PCI. The left ventricular function index Variety. Results There was no significant difference in left ventricular function between the two groups after treatment (P> 0.05). Conclusions Intra-arterial thrombolytic therapy and emergency PCI can improve left ventricular function in patients with acute ST-segment elevation myocardial infarction in 3 hours. All hospitals should choose reperfusion regimen according to need and thrombolytic therapy can be performed in hospitals without direct PCI PCI is performed at the appropriate time to minimize ventricular remodeling and recovery of ischemic myocardium.