摘要
目的对发病至介入治疗时间不同的患者实施冠脉介入治疗,探讨不同时间窗急性心梗患者采用冠脉介入治疗的效果差异。方法针对该院2018年1月—2019年8月收治的急性心肌梗死患者,按标准从中选择80例患者作为该次研究的对象,按照发病后到医院接受急诊冠状动脉介入治疗时间的不同分组,发病至治疗在3 h以内的为观察组,发病时间在3~12 h以内为对照组,每组40例。两组患者均接受了冠脉介入治疗,观察与比较两组患者治疗总有效率、不良心血管事件发生率。结果观察组治疗总有效率为95.00%,明显高于对照组80.00%,差异有统计学意义(χ^2=5.117,P<0.05)。观察组心源性休克0例、心绞痛3例、心律失常1例,不良事件总发生率10.00%,对照组心源性休克2例、心绞痛5例、心律失常4例,不良事件总发生率27.50%,观察组不良事件总发生率明显低于对照组不良事件总发生率,差异有统计学意义(χ2=6.208,P<0.05)。结论尽早对急性心肌梗死患者实施冠状动脉介入治疗可以更好地降低不良心血管事件发生率,治疗效果更佳。
Objective To implement pulse interventional therapy for patients with different time from onset to interventional therapy,and to explore the difference in the effect of coronary interventional therapy for patients with acute myocardial infarction in different time windows.Methods For patients with acute myocardial infarction admitted to the hospital from January 2018 to August 2019,80 patients were selected as the subjects of this study according to the standards,and were divided into different groups according to the time of receiving emergency coronary intervention in the hospital after the onset.The observation group was the observation group within 3 hours from the onset to the treatment,and the control group within 3 to 12 hours,with 40 cases in each group.Both groups of patients received coronary interventional therapy.The total effective rate of treatment and the incidence of adverse cardiovascular events were observed and compared between the two groups.Results The total effective rate of treatment in the observation group was 95.00%,which was significantly higher than 80.00%in the control group.The difference was statistically significant(χ^2=5.117,P<0.05).In the observation group,there were 0 cases of cardiogenic shock,3 cases of angina,and 1 case of arrhythmia.The total incidence of adverse events was 10.00%.In the control group,there were 2 cases of cardiogenic shock,5 cases of angina,and 4 cases of arrhythmia.The total incidence of adverse events was 27.50%,the total incidence of adverse events in the observation group was significantly lower than the total incidence of adverse events in the control group,the difference was statistically significant(χ2=6.208,P<0.05).Conclusion The early implementation of coronary interventional therapy for patients with acute myocardial infarction can better reduce the incidence of adverse cardiovascular events and achieve better treatment effects.
作者
王雪梅
WANG Xue-mei(Department of Interventional Clinic,Yankuang New Milestone General Hospital,Zoucheng,Shandong Province,273500 China)
出处
《世界复合医学》
2020年第9期114-116,共3页
World Journal of Complex Medicine
关键词
急性心肌梗死
冠状动脉介入治疗
时间窗
效果
Acute myocardial infarction
Coronary intervention
Time window
Effect
