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目的:探索急性ST段抬高型心肌梗死患者应用急诊冠状动脉介入疗法对于左心室功能的影响。方法:回顾性分析2015年2月-2017年2月我院收治的162例急性ST段抬高型心肌梗死患者临床资料,其中行急诊冠状动脉介入疗法的有84例,设为实验组;行择期冠状动脉介入疗法的有78例,设为对照组;对比两组的左心功能指标等。结果:术后7d、3个月,实验组患者的左心室射血分数明显高于对照组患者,P<0.05;术后7d、3个月,实验组患者的左心室舒张、收缩功能均好于对照组,P<0.05。结论:急诊PCI术治疗急性ST抬高型心肌梗死患者采用急诊PCI治疗疗效确切,能有效促进患者左心室功能恢复,提高生存质量。临床上应早期对STEMI患者进行急诊PCI术适应症、禁忌症的检查,对于符合适应症的患者可早期行急诊PCI治疗,快速改善心肌缺血症状,改善心功能。
Objective: To investigate the effect of emergency percutaneous coronary intervention on left ventricular function in patients with acute ST-segment elevation myocardial infarction. Methods: The clinical data of 162 patients with acute ST-segment elevation myocardial infarction admitted to our hospital from February 2015 to February 2017 were retrospectively analyzed. Among them, 84 patients underwent emergency coronary intervention Elective coronary intervention in 78 cases, as the control group; contrast two groups of left ventricular function and other indicators. Results: The left ventricular ejection fraction of the experimental group was significantly higher than that of the control group on the 7th day and the 3rd month after operation (P <0.05), and the left ventricular diastolic and systolic function of the experimental group was good at 7 and 3 months In the control group, P <0.05. Conclusions: Emergency PCI in patients with acute ST-elevation myocardial infarction treated with emergency PCI is effective and can effectively improve left ventricular function recovery and improve quality of life. Clinical early STEMI patients with emergency PCI indications, contraindications for the examination of patients with indications for early emergency PCI treatment, rapid improvement of myocardial ischemia, improve cardiac function.