论文部分内容阅读
目的研究梗死前心绞痛对急性心肌梗死(AMI)患者预后的影响。方法回顾性分析2009年1月-2013年1月我院303例AMI患者资料,根据患者在心梗前有无心绞痛,将患者分为P组(心肌梗死前1周有心绞痛发作)142例与NP组(心肌梗死前1周无心绞痛)161例。对比分析两组患者预后。结果 P组的溶栓再通率明显高于NP组,再通时间明显短于NP组,CK、CK-MB、心脏并发症发生率、住院期间死亡率明显低于NP组,差异均有统计学意义(P<0.05)。结论梗死前心绞痛对AMI患者的心肌有明显的保护作用,能改善患者的预后。
Objective To study the effect of pre-infarction angina on the prognosis of patients with acute myocardial infarction (AMI). Methods The data of 303 patients with AMI in our hospital from January 2009 to January 2013 were retrospectively analyzed. According to the presence or absence of angina in patients before myocardial infarction, the patients were divided into two groups: 142 patients with P group (angina pectoris 1 week before MI) NP group (no angina pectoris 1 week before myocardial infarction) 161 cases. Comparative analysis of two groups of patients prognosis. Results The thrombolysis recanalization rate in group P was significantly higher than that in group NP, and the recanalization time was significantly shorter than that in NP, CK and CK-MB. The incidence of cardiac complications and in-hospital mortality were significantly lower than those in NP group Significance (P <0.05). Conclusion Preinfarction angina has obvious protective effect on myocardium of patients with AMI, which can improve the prognosis of patients.