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目的针对高龄急性心肌梗死患者,讨论临床实施经桡动脉途径直接经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)的效果,为日后的临床治疗提供参考与指导。方法选择武警重庆总队医院于2014年1月至2016年1月收治的62例高龄急性心肌梗死患者为研究对象,随机分为2组:观察组与对照组。观察组实施经桡动脉途径直接PCI治疗,对照组实施常规手术治疗,对比2组患者的临床疗效。结果经过临床对比,观察组患者治疗总有效率为96.8%,对照组患者治疗总有效率为67.7%,2组相比差异有统计学意义(P<0.05)。结论针对高龄急性心肌梗死患者,应用经桡动脉途径直接PCI治疗,可有效控制患者病情,提高患者的生存质量,减少并发症的概率,值得推广。
Objective To investigate the clinical effect of percutaneous coronary intervention (PCI) through radial artery in elderly patients with acute myocardial infarction and provide reference and guidance for future clinical treatment. Methods Sixty-two patients with acute myocardial infarction in Chongqing Armed Police Corps Hospital from January 2014 to January 2016 were selected as study subjects and randomly divided into two groups: observation group and control group. The observation group was treated with direct PCI through the radial artery and the control group with conventional surgery. The clinical efficacy of the two groups were compared. Results After clinical comparison, the total effective rate was 96.8% in the observation group and 67.7% in the control group. There was significant difference between the two groups (P <0.05). Conclusion For the elderly patients with acute myocardial infarction, the application of radial artery direct PCI treatment can effectively control the patient’s condition, improve patient’s quality of life, reduce the probability of complications, it is worth promoting.