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目的探讨急性前壁心肌梗死患者发病6 h内分别使用溶栓与介入治疗的临床效果。方法抽选2 0 1 2年1月-2 0 1 3年2月在平顶山煤业集团六矿职工医院接受治疗的急性前壁心肌梗死患者8 9例,结合患者治疗时间前后分为观察组(4 4例)和对照组(4 5例),观察组患者给予介入治疗,对照组患者给予溶栓治疗,对比两组患者治疗效果的差异。结果两组患者再灌注成功率对比差异有统计学意义(P<0.0 5)。两组患者在发病时、发病3 h时c Tn T数值差异无统计学意义(P>0.0 5),观察组患者在发病6 h时c Tn T数值明显高于对照组,差异有统计学意义(P<0.0 5),同时观察组患者CKMB峰值明显高于对照组,差异有统计学意义(P<0.0 5)。结论介入治疗相较于溶栓治疗,其对急性前壁心肌梗死患者发病6 h内的治疗效果更加良好。
Objective To investigate the clinical effects of thrombolytic therapy and interventional therapy within 6 hours after onset of acute anterior myocardial infarction. Methods A total of 89 patients with acute anterior myocardial infarction who were treated at the Sixth Workers Hospital of Pingdingshan Coal Industry Group from January 2012 to January 2011 were divided into two groups according to the treatment time 4 4 cases) and control group (45 cases). Patients in the observation group were treated with interventional therapy. Patients in the control group were given thrombolytic therapy, and the differences between the two groups were compared. Results There was significant difference in the success rate of reperfusion between the two groups (P <0.05). There were no significant differences in c Tn T values between the two groups at 3 h after onset (P> 0.05), and the values of c Tn T at 6 h after onset in the observation group were significantly higher than those in the control group (P <0.05). Meanwhile, the CKMB peak value in the observation group was significantly higher than that in the control group (P <0.05). Conclusion Compared with thrombolytic therapy, interventional therapy is more effective in treating patients with acute anterior myocardial infarction within 6 hours after onset of disease.