论文部分内容阅读
目的探讨急诊经皮冠状动脉介入(PCI)治疗急性ST段抬高型心肌梗死患者的临床价值。方法选择2015年1月至2016年1月100例急性ST段抬高型心肌梗死患者为研究对象,所有患者进行急诊PCI治疗,30例患者发病后2~6 h进行手术;70例患者入院后立即(<2 h)采用PCI治疗。分析不同时间内再灌注对急性ST段抬高型心肌梗死患者治疗效果。比较急性ST段抬高型心肌梗死患者治疗后的各项临床指标。结果 100例患者中,<2 h手术者住院时间[(8.36±2.36)d]、室颤发生率(2.00%)、心脏不良事件发生率(4.00%)均优于2~6 h手术者(P<0.05)。治疗后所有患者的超敏-C反应蛋白(hs-CRP)、左心室射血分数(LVEF)、总胆固醇(TC)、低密度脂蛋白-胆固醇(LDL-C)、中性粒细胞计数、白细胞计数与标准值比较差异未见统计学意义(P>0.05)。结论早期行急诊PCI治疗,可提高急性ST段抬高型心肌梗死患者的救治率。
Objective To investigate the clinical value of emergency percutaneous coronary intervention (PCI) in patients with acute ST-segment elevation myocardial infarction. Methods From January 2015 to January 2016, 100 patients with acute ST-elevation myocardial infarction were enrolled in this study. All patients underwent emergency PCI and 30 patients were operated 2 to 6 hours after their onset. 70 patients were admitted to hospital Immediate (<2 h) PCI was used. To analyze the effect of reperfusion on the patients with acute ST-elevation myocardial infarction in different time. To compare the clinical features of acute ST-segment elevation myocardial infarction patients after treatment. Results Among the 100 patients, the hospital stay of patients under 2 hours (8.36 ± 2.36 days), the incidence of ventricular fibrillation (2.00%) and the incidence of adverse cardiac events (4.00%) were superior to those of patients undergoing surgery for 2 to 6 hours P <0.05). After treatment, the levels of hs-CRP, LVEF, TC, LDL-C, neutrophil count, There was no significant difference between the white blood cell count and the standard value (P> 0.05). Conclusion Early emergency PCI treatment can improve the treatment rate of patients with acute ST-segment elevation myocardial infarction.