摘要
目的探讨急诊直接经皮冠状动脉介入(PCI)治疗对急性ST段抬高型心肌梗死患者的近期效果及其对心功能的影响。方法选取2017年6月至2018年9月我院收治的71例急性ST段抬高型心肌梗死患者进行回顾性分析,所有患者均行PCI术,根据患者行介入术的不同时机将研究病例分为直接介入组和择期介入组,直接介入组患者发病至行介入术不超过12h,择期介入组发病至行介入术大于12h,不超过14天。患者出院后进行为期半年的随访。对比分析两组发病情况及冠脉造影结果,对比两组治疗前后心脏彩超指标,对比两组不良心血管事件和不良反应发生情况。结果两组病变区域、复流情况、成功再灌注例数、支架植入数量无统计学意义(P>0.05)。出院后半年直接介入组LVDD一般用LVDD表示左室舒张末内径低于择期介入组(P<0.05),直接介入组LVEF高于择期介入组(P<0.05),直接介入组心律失常和再次心肌梗死发生情况低于择期介入组(P<0.05),两组不良反应发生情况无统计学意义(P>0.05)。结论急诊直接PCI介入治疗可有效改善急性ST段抬高型心肌梗死患者心功能,且心律失常以及再次心肌梗死等不良心血管发生率较低。
Objective To investigate the short-term effect of emergency direct percutaneous coronary intervention(PCI)on patients with acute ST-segment elevation myocardial infarction and its influence on cardiac function.Methods Selection June 2017 to September 2018,our hospital 71 cases of patients with acute ST segment elevation myocardial infarction were analyzed retrospectively, all patients were performed PCI surgery, according to the different time of patients interention study cases can be divided into direct intervention and names of intervention group and intervention group patients disease directly to the line in no more than 12 h, names of intervention group to line in more than 12 h, no more than 14 days.The patients were followed up for half a year after discharge.The incidence and coronary angiography results of the two groups were compared, and the cardiac color ultrasound indexes before and after treatment were compared, and the incidence of adverse cardiovascular events and adverse reactions in the two groups were compared.Results There was no significant difference in lesion area, reflow, number of successful reperfusion cases and number of stent implantation between the two groups(P>0.05).Discharged directly involved in the next set of LVDD generally expressed in LVDD left ventricular end-diastolic diameter below the names of intervention group(P<0.05),directly involved in LVEF above names of intervention group(P<0.05),directly involved in group of arrhythmia and myocardial infarction is happening again below the names of intervention group(P<0.05),two groups of adverse reaction happening has no statistical significance(P>0.05).Conclusion Emergency direct PCI intervention can effectively improve the cardiac function of patients with ACUTE ST-segment elevation myocardial infarction, and the incidence of adverse cardiovascular events such as arrhythmia and re-infarction is low.
作者
袁萌楠
可海霞
王泽荣
郝丽娜
Yuan Mengnan;Ke Haixia;Wang Zerong;Hao Lina(Anyang Hospital of Traditional Chinese Medicine,Anyang 455000,China)
出处
《辽宁医学杂志》
2022年第1期19-22,共4页
Medical Journal of Liaoning
关键词
急性ST段抬高型心肌梗死
经皮冠状动脉支架植入术
急诊直接介入
Acute ST-segment elevation myocardial infarction
Percutaneous coronary stenting
Direct emergency intervention
