论文部分内容阅读
目的探讨突发急性心肌梗死的急诊时间对治疗方法与预后效果的影响。方法根据入院顺序将60名左室突发急性心肌梗死患者随机分为治疗组与对照组(n=30),对治疗组患者在急性突发急性心肌梗死出现症状出现12h内实施介入治疗,对对照组患者在突发急性心肌梗死症状出现12h后实施介入治疗。结果治疗后,两组的EDV、ESV、LVEF都有明显改善,差异有统计学意义(P﹤0.05),但是治疗组的改善程度优于对照组,差异有统计学意义(P﹤0.05)。经过观察与3个月随访,治疗组胸痛与再梗死的发生率明显少于对照组(P﹤0.05)。另外,治疗组没有出现死亡病例,对照组有3例死亡,差异也有统计学意义(P﹤0.05)。结论早期急诊介入治疗突发急性心肌梗死能有效改善超声心动图指标,同时对预后结果有积极影响,值得推广应用。
Objective To investigate the effect of emergency treatment time on the treatment and prognosis of patients with acute myocardial infarction. Methods Sixty patients with acute myocardial infarction with left ventricular burst were randomly divided into treatment group and control group (n = 30) according to the sequence of hospital admission. Interventional therapy was performed within 12 hours after onset of symptoms in patients with acute sudden myocardial infarction Patients in the control group underwent interventional therapy 12 hours after the onset of acute myocardial infarction symptoms. Results After treatment, EDV, ESV and LVEF in both groups were significantly improved (P <0.05), but the improvement in the treatment group was better than that in the control group (P <0.05). After 3 months of follow-up, the incidence of chest pain and reinfarction in the treatment group was significantly less than that in the control group (P <0.05). In addition, the treatment group did not appear to die, the control group, 3 patients died, the difference was statistically significant (P <0.05). Conclusion Early emergency interventional treatment of acute myocardial infarction can effectively improve the echocardiographic parameters, and have a positive impact on prognosis, which is worth popularizing and applying.