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经皮冠状动脉介入治疗对急性心肌梗死患者窦性心率震荡及心率变异性的影响观察 被引量:3

The effect of percutaneous coronary intervention on heart rate turbulence and heart rate variability in patients with acute myocardial infarction
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摘要 目的探讨对急性心肌梗死患者予以经皮冠状动脉介入治疗后,对其心率变异性和窦性心率震荡的影响情况。方法 2015年8月~2017年3月期间选取我院收治的急性心肌梗死患者72例,按照不同的治疗方法将其均分两组,各36例。将实施药物治疗的患者作为参照组,将实施经皮冠状动脉介入治疗的患者作为实验组。对比两组急性心肌梗死患者的震荡斜率TS、24小时内R-R之间的标准差SDNN和5min之内R-R之间的平均标准差SDANN情况。结果经皮冠状动脉介入治疗后,实验组急性心肌梗死患者的TS、SDANN、SDNN相比于参照组,均明显较高,差异有统计学意义(P<0.05)。结论对急性心肌梗死患者予以经皮冠状动脉介入治疗,其心肌缺血情况予以改善,对其心律失常和心性猝死情况予以有效的预防,证明其效果较优。 Objective To investigate the effect of percutaneous coronary intervention on heart rate variability and heart rate turbulence in patients with acute myocardial infarction.Methods From August2015to March2017,seventy-two patients with acute myocardial infarction in our hospital were selected for the experiment.According to different treatment methods,they were divided into two groups,36cases in each group.The reference group was treated with medication,the experimental group was treated with percutaneous coronary intervention.The turbulence slope(TS),standard deviation(SDNN)between R-R within24hours and average standard deviation(SDANN)between R-R within5minutes were compared between the two groups of patients with acute myocardial infarction.Results After percutaneous coronary intervention,the TS,SDANN and SDNN in the experimental group were significantly higher than those in the reference group,and the difference was statistically significant(P<0.05).Conclusion For patients with acute myocardial infarction,percutaneous coronary intervention can improve their myocardial ischemia,prevent arrhythmia and sudden cardiac death effectively,which prove that the effect is excellent.
作者 刘新苗 刘富湘 LIU Xinmiao;LIU Fuxiang(Yangchun City People's Hospital of Guangdong Province,Yangchun 529600,China)
出处 《中国医药科学》 2018年第4期206-208,共3页 China Medicine And Pharmacy
关键词 经皮冠状动脉介入治疗 急性心肌梗死 窦性心率震荡 心率变异 Percutaneous coronary intervention Acute myocardial infarction Heart rate turbulence Heart rate variability
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