摘要
目的探讨老年急性心肌梗死并心源性休克的临床治疗方法及其治疗效果。方法选取本院心内科2014年7月—2016年2月收治的82例急性心肌梗死并心源性休克患者作为研究对象,将其随机分为观察组(经皮冠状动脉介入手术治疗)和对照组(溶栓治疗)各41例,观察两组患者的临床治疗效果、心功能恢复情况及其各项体征指标。结果与对照组相比,观察组患者的治疗有效率(90.2%>78.0%)相对更高,差异具有统计学意义(P<0.05)。治疗前,两组患者的LVEDD、LVESD以及LVEF等心功能指标对比差异不显著(P>0.05);经治疗后,两组患者的心功能得以明显的改善(P<0.05),其中观察组患者的心功能恢复效果明显优于对照组。与对照组相比,观察组患者的LVEDD[(50.92±7.23)mm<(56.95±6.74)mm]、LVESD[(30.72±5.32)mm<(36.5±5.41)mm]明显低于对照组,而LVEF[(53.43±7.34)%>(43.42±6.38)%]明显高于对照组(P<0.05)。观察组在HR[(84.23±7.41)次/min<(108.36±8.26)次/min]、SBP[(117.76±11.26)mm Hg<(132.64±9.64)mm Hg]、DBP[(80.95±10.48)mm Hg<(91.36±9.47)mm Hg],对比差异显著(P<0.05)。结论老年急性心肌梗死并心源性休克的临床治疗当中,经皮冠状动脉介入手术治疗是一种更为有效的治疗方法,其对于改善患者的心功能具有显著的效果,建议在临床上推广应用。
Objective to investigate the clinical treatment of acute myocardial infarction in elderly patients with acute myocardial infarction and its therapeutic effect.Methods the thesis Selected 82 cases of acute myocardial infarction and cardiogenic shock patients from the Department of Cardiology in our hospital between July 2014 and February 2016 as the research objectand random Ly divided them into 41 observation groups(percutaneous coronary artery interventional therapy) and 41 control groups(thrombolytic therapy), and then observed the clinical effect of the treatment of the patients from these two groups,the recovery of heart function and other body charter indexes.Results compared with the control group, the treatment efficiency of the observation group(90.2% > 78%) was higher and the comparison was statistically significant(P < 0.05).Before treatment, LVEDD, LVESD and LVEF heart function index of the patient from these two groups have small differences(P > 0.05); after treatment, the cardiac function of the patients from these two groups were significantly improved(P < 0.05), and patients from the observation group with cardiac function recovery was better than the control group. Compared with the control group, the LVEDD[(50.92 + 7.23) mm <(56.95 + 6.74) mm],LVESD[(30.72 + 5.32) mm <(36.5 + 5.41) mm] of patients from the observation group was significantly lower than the control group, and LVEF[(53.43 + 7.34)%,(43.42 + 6.38) were significantly higher than the control group(P < 0.05). In the observation group, HR[(84.23 + 7.41)/min <(108.36 + 8.26)/min],SBP[(117.76 + 11.26) mm Hg <(132.64 + 9.64) mm Hg], DBP[(80.95 + 10.48) mm Hg <(91.36 + 9.47) mm Hg],had significant differences(P < 0.05). Conclusionin the clinical treatment of elderly patients with acute myocardial infarction and cardiogenic shock, percutaneous coronary artery interventional therapy is more effective and works better in improving the heart function of patients in clinical application.
出处
《大医生》
2016年第1期1-2,7,共3页
Doctor
关键词
急性心肌梗死
心源性休克
临床治疗
acute myocardial infarction
cardiac shock
clinical treatment
