摘要
目的:研究急性心肌梗死并发阿斯综合征老年患者的急诊复苏术抢救效果与相关因素。方法:选取2012年3月-2013年3月笔者所在医院收治的186例急性心肌梗死并发阿斯综合征的老年患者,采用随机数字法将其分成观察组和对照组,各93例。两组患者均行心肺复苏术,观察组患者在复苏抢救后进行静脉溶栓术,对照组患者在复苏抢救后进行经皮冠状动脉腔内血管成形术,对比两组患者的抢救效果、发病时和发病24 h后的实验室检查结果,对其抢救效果加以评估。结果:观察组抢救后死亡率为8.60%,对照组的死亡率为10.75%,差异无统计学意义(P>0.05)。两组经过抢救后出现不同程度的阿斯综合征,但两组患者出现阿斯综合征的例数比较差异无统计学意义(P>0.05)。两组患者在发病时和发病24 h后检测CK-MB活性,发病24 h后两组患者体内CK-MB活性明显增高,差异有统计学意义(P<0.05)。结论:老年患者出现急性心肌梗死并发阿斯综合征一定要及时进行抢救,如果抢救不及时均可以引起较高的死亡率。因此对于老年人出现急性心肌梗死并发阿斯综合征应及时进行抢救并进行静脉溶栓术或经皮冠状动脉腔内血管成形术进行治疗,具有良好的效果,患者生还率较高,患者及家属普遍满意,值得在临床上广泛推广。
Objective：To study and analysis the emergency resuscitation effect and related factors of elderly patients with acute myocardial infarction complicated with Adams Stokes syndrome.Method：186 cases of elderly patients with acute myocardial infarction complicated with Adams Stokes syndrome from March 2012 to March 2013 in author’s hospital were selected,they were randomly divided into the observation group and the control group,93 cases in each group.Two groups of patients were performed CPR,the observation group of patients in the recovery after the rescue of intravenous thrombolysis was treated with intravenous thrombolysis,the control group of patients was treated with percutaneous transluminal coronary angioplasty inresuscitation.The incidence of the rescue effect and the lab tests after 24 hours,and onset were compared between two groups,to evaluate its rescue effect.Result：The mortality rate in the observation group after rescue was 8.60%,the control group was 10.75%,there was no statistically significant difference（P〉0.05）.The different degrees of Adams Stokes syndrome happened in two groups after rescue,but the two groups of patients with Adams Stokes syndrome had no significant difference（P〉0.05）.CK-MB activity was higher increased after the incidence of 24 hours than onset in two groups of patients,the difference was statistically significant（P〈0.05）.Conclusion：In elderly patients with acute myocardial infarction complicated with Adams Stokes syndrome must be timely rescue,if not timely rescue can cause high mortality.So for the elderly with acute myocardial infarction complicated with Adams Stokes syndrome should be timely rescue and treat with intravenous thrombolysis or percutaneous transluminal coronary angioplasty,the effect is good,survival rate is high,the patients and family members are generally satisfied,it is worth popularizing in the clinic.
出处
《中外医学研究》
2014年第18期15-17,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
急性心肌梗死
阿斯综合征
复苏术抢救
老年患者
Acute myocardial infarction
Adams Stokes syndrome
Resuscitation
Elderly patients
