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目的:对比分析急诊PCI与择期PCI在急性心肌梗死(AMI)治疗中的效果。方法:选择我科2016年3月～2017年4月113例接受急诊PCI治疗的AMI患者为观察组,另选同期105例行择期PCI的患者为对照组,观察两组临床疗效。结果:治疗3个月后,观察组LVEDV(140.13±2.96)mL、LVESV(50.74±2.40)mL,均较对照组显著降低,且其LVEF为(55.88±2.85)%明显高于对照组(p<0.05);观察组心血管事件发生几率6.19%,显著低于对照组15.24%。结论:与择期PCI相比,急诊PCI治疗AMI效果更佳,能够有效减少心室重构,改善患者心脏功能,并降低术后心血管事件发生率,更有利于患者早日康复。
Objective: To compare and analyze the effect of emergency PCI and elective PCI in the treatment of acute myocardial infarction (AMI). Methods: A total of 113 AMI patients receiving emergency PCI from March 2016 to April 2017 in our department were selected as the observation group. Another 105 patients undergoing elective PCI during the same period were selected as the control group. The clinical effects were observed. Results: After 3 months of treatment, LVEDV (140.13 ± 2.96) mL and LVESV (50.74 ± 2.40) mL in the observation group were significantly lower than those in the control group, and the LVEF was significantly higher in the observation group (55.88 ± 2.85)% than in the control group <0.05). The incidence of cardiovascular events in the observation group was 6.19%, which was significantly lower than that in the control group (15.24%). Conclusion: Compared with elective PCI, emergency PCI is superior to AMI in the treatment of acute myocardial infarction. It can effectively reduce ventricular remodeling, improve cardiac function, reduce the incidence of postoperative cardiovascular events and facilitate the early recovery of patients.