摘要
目的:研究比较急诊经皮冠状动脉介入术(percutaneous coronary intervention,PCI)与择期PCI对急性心肌梗死的治疗效果。方法:选取2010年1月-2015年12月笔者所在医院收治的60例急性心肌梗死患者作为研究对象,随机将其分为两组,每组30例,急诊组、择期组分别采取急诊PCI、择期PCI治疗,比较两组临床疗效、TIMI血流情况、心血管事件发生率、住院时间及住院费用。结果:两组治疗总有效率比较差异无统计学意义(P>0.05),但急诊组治愈率为66.67%,高于择期组的40.00%,比较差异有统计学意义(P<0.05);急诊组TIMI血流分级为3级的患者占比为70.00%,显著高于择期组的43.33%,比较差异有统计学意义(P<0.05);急诊组心血管事件发生率为3.33%,明显低于择期组的20.00%,比较差异有统计学意义(P<0.05);急诊组住院时间明显短于择期组,住院费用明显少于择期组,比较差异均有统计学意义(P<0.05)。结论:相比于择期PCI,对急性心肌梗死患者实施急诊PCI治疗安全有效。
Objective：To compare and evaluate the efficacy of emergency percutaneous coronary intervention（percutaneous coronary intervention,PCI） and elective PCI in the treatment of acute myocardial infarction.Method：From January 2010 to December 2015,60 cases of acute myocardial infarction patients in our hospital were selected as the research object,patients were randomly divided into two groups,30 cases in each group. Emergency group and elective group were treated with emergency PCI and elective PCI respectively,the clinical effect,TIMI blood flow,incidence of cardiovascular events,hospitalization time and hospitalization expenses were compared between two groups.Result：The total effective rate between two groups showed no significant difference（P〈0.05）,but the cure rate in the emergency group was 66.67%,was higher than that of elective group（40.00%）,the difference was statistically significant（P〈0.05）.The proportion of TIMI grade 3 patients in the emergency department was 70.00%,was significantly higher than that of the elective group（43.33%）,the difference was statistically significant（P〈0.05）.The incidence of cardiovascular events in the emergency group was 3.33%,was significantly lower than that in the elective group（20.00%）,the difference was statistically significant（P〈0.05）.The hospitalization time in the emergency group was significantly shorter than the elective group,and the hospitalization expenses in the emergency group was significantly less than the elective group,the differences were statistically significant（P〈0.05）.Conclusion：Compared with elective PCI,it is safe and effective to perform emergency PCI in acute myocardial infarction patients.
作者
万伟
戴正东
徐高峰
蔡红专
WAN Wei, DAI Zhengdong, XU Gaofeng, et al.(Macheng City People＇s Hospital, Macheng 438300, Chin)
出处
《中外医学研究》
2018年第7期4-5,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
湖北省卫生计生委科研项目(项目编号:WJ2017F091)
关键词
急性心肌梗死
经皮冠状动脉介入术
急诊科
Acute myocardial infarction
Percutaneous coronary intervention
Emergency department
