ST段抬高型心肌梗死患者急诊介入治疗的临床预后影响效果观察
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摘要
目的分析与探究急诊介入治疗在ST段抬高型心肌梗死(STEMI)患者中的临床疗效。方法选取河南科技大学第一附属医院于2017年1月—2018年6月收治的STEMI患者86例为研究对象,进行回顾分析;根据患者所选择的治疗方法,将采用急诊介入治疗的43例患者纳入研究组,另外43例行择期介入治疗的患者纳入对照组;对比观察两组患者临床治疗效果与死亡情况。结果经治疗后对比,研究组患者治疗7 d、6个月后的LVEF、LVED心功能指标均优于对照组;与此同时,患者心脏破裂(0.00%)、梗死复发住院(6.98%)以及30 d内死亡(2.33%)、1年内死亡(6.98%)等发生率均低于对照组(9.30%、23.26%、16.28%、23.26%)(P<0.05)。结论 STEMI患者应用急诊介入治疗相对于择期介入治疗,对于促进患者心肌血液再灌注、改善患者预后效果更好,临床应用价值较高,但其对于治疗时间窗具有较高的要求。
ObjectiveTo analyze and explore the clinical effect of emergency interventional therapy in patients with ST segment elevation myocardial infarction(STEMI).Methods86 patients with STEMI admitted to the hospital from January, 2017 to June,2018 were retrospectively analyzed, and 43 patients who were treated with emergency interventional therapy were included in the study group according to the treatment methods selected by the patients. Another 43 patients with selective interventional therapy were included in the control group. And the clinical efficacy and mortality of the two groups were compared.ResultsLVEF and LVED of two groups after 7 days and 6 months treatment of the study group were better than the control group. At the same time,the incidence of heart rupture(0.00%), infarction recurrence in hospital(6.98%), death within 30 days(2.33%)and death within one year(6.98%)were lower than those in the control group(9.30%,23.26%,16.28% and 23.26%)(P<0.05).Conclusion Compared with selective interventional therapy,emergency interventional therapy for STEMI patients is more effective than selective interventional therapy in promoting myocardial blood reperfusion and improving the prognosis of patients,but it has a higher requirement for the time window of treatment.
ObjectiveTo analyze and explore the clinical effect of emergency interventional therapy in patients with ST segment elevation myocardial infarction(STEMI).Methods86 patients with STEMI admitted to the hospital from January, 2017 to June,2018 were retrospectively analyzed, and 43 patients who were treated with emergency interventional therapy were included in the study group according to the treatment methods selected by the patients. Another 43 patients with selective interventional therapy were included in the control group. And the clinical efficacy and mortality of the two groups were compared.ResultsLVEF and LVED of two groups after 7 days and 6 months treatment of the study group were better than the control group. At the same time,the incidence of heart rupture(0.00%), infarction recurrence in hospital(6.98%), death within 30 days(2.33%)and death within one year(6.98%)were lower than those in the control group(9.30%,23.26%,16.28% and 23.26%)(P<0.05).Conclusion Compared with selective interventional therapy,emergency interventional therapy for STEMI patients is more effective than selective interventional therapy in promoting myocardial blood reperfusion and improving the prognosis of patients,but it has a higher requirement for the time window of treatment.
引文
[1]张静平.急诊介入治疗与择期介入治疗对急性ST段抬高型心肌梗死临床观察[J].深圳中西医结合杂志,2018,28(7):124-125.
[2]李辉煜.急性ST段抬高型心肌梗死的急诊介入治疗与临床效果评析[J].实用中西医结合临床,2017,17(7):9-11.
[3]符琛.急性心肌梗死(ST段抬高型)经不同时间实施介入治疗(急诊、择期)预后效果观察[J].临床合理用药杂志,2017,10(2):96-97.
[4]刘志郎,邵亚丽.急诊介入与择期介入治疗急性ST段抬高型心肌梗死的临床及预后效果比较[J].河北医学,2016,22(1):153-155.
[5]师浩杰.急诊介入与择期介入治疗急性ST段抬高型心肌梗死的临床及预后效果比较[J].中西医结合心血管病电子杂志,2016,4(33):74-75.
[6]吴先明,周建军,何辉,等.急诊与择期经皮冠状动脉介入治疗急性ST段抬高型心肌梗死临床疗效的比较研究[J].实用心脑肺血管病杂志,2015,23(11):46-48+52.
[7]严宪才,侯杰.急诊介入与择期介入治疗对急性ST段抬高型心肌梗死临床观察[J].深圳中西医结合杂志,2015,25(15):118-120.
[2]李辉煜.急性ST段抬高型心肌梗死的急诊介入治疗与临床效果评析[J].实用中西医结合临床,2017,17(7):9-11.
[3]符琛.急性心肌梗死(ST段抬高型)经不同时间实施介入治疗(急诊、择期)预后效果观察[J].临床合理用药杂志,2017,10(2):96-97.
[4]刘志郎,邵亚丽.急诊介入与择期介入治疗急性ST段抬高型心肌梗死的临床及预后效果比较[J].河北医学,2016,22(1):153-155.
[5]师浩杰.急诊介入与择期介入治疗急性ST段抬高型心肌梗死的临床及预后效果比较[J].中西医结合心血管病电子杂志,2016,4(33):74-75.
[6]吴先明,周建军,何辉,等.急诊与择期经皮冠状动脉介入治疗急性ST段抬高型心肌梗死临床疗效的比较研究[J].实用心脑肺血管病杂志,2015,23(11):46-48+52.
[7]严宪才,侯杰.急诊介入与择期介入治疗对急性ST段抬高型心肌梗死临床观察[J].深圳中西医结合杂志,2015,25(15):118-120.