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目的观察急诊经皮冠状动脉介入治疗急性心肌梗死的效果评定与护理。方法选取医院心内科收治的急性心肌梗死患者86例为研究对象,随机分为对照组和观察组,每组43例。对照组采用溶栓治疗,观察组采用急诊经皮冠状动脉介入治疗,2组均配合优质护理,比较2组患者的治疗效果、安全性、心功能改善情况。结果观察组血管再通率为97.68%,高于对照组的86.05%(P<0.05);观察组并发症发生率、病死率均低于对照组(P<0.05);观察组治疗后LVEF高于对照组(P<0.01);观察组再次心肌梗死率、再发心绞痛率低于对照组(P<0.05)。结论急诊经皮冠状动脉介入治疗急性心肌梗死的效果显著,能有效再通冠状动脉,减少并发症的发生,配合优质护理能够提升生活质量,改善预后。
Objective To observe the effect and nursing of emergency percutaneous coronary intervention on acute myocardial infarction. Methods Eighty-six patients with acute myocardial infarction admitted to the hospital cardiology department were selected as the research object and randomly divided into control group and observation group, with 43 cases in each group. The control group was treated with thrombolytic therapy. The observation group was treated with emergency percutaneous coronary intervention. Both groups were treated with high-quality nursing care. The treatment effect, safety and cardiac function were compared between the two groups. Results The rate of vascular recanalization in the observation group was 97.68%, which was higher than that in the control group (86.05%, P <0.05). The incidence of complications and mortality in the observation group were lower than those in the control group (P <0.05) (P <0.01). The rate of myocardial infarction and recurrence of angina in the observation group was lower than that of the control group (P <0.05). Conclusions The effect of percutaneous coronary intervention in the treatment of acute myocardial infarction is significant. It can effectively reopen the coronary arteries and reduce the incidence of complications. With quality nursing, the quality of life can be improved and the prognosis can be improved.