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目的探讨老年心肌梗死介入治疗与单纯药物治疗的临床效果。方法选择我院2008年12月-2011年12月确诊的急性心肌梗死患者80例,均为首次前壁急性心肌梗死患者。根据是否适合行介入治疗和患者意愿分为观察组和对照组各40例,愿意且适合行介入治疗为介入组,不愿意及不适合行介入治疗为保守组。介入组实施PCI术,保守组给予心肌梗死常规药物阿司匹林、氯吡格雷、他汀类调脂药物、ACEI类药物、β受体阻滞剂等保守治疗。结果治疗后,观察组E/A、LVESV、LVEDV和LVEF优于对照组,差异有统计学意义(P<0.05)。结论老年急性心肌梗死患者实施介入治疗能在较短时间内挽救濒临死亡心肌,缩小梗死面积,显著改善心功能,改善心室重构,疗效显著。
Objective To investigate the clinical effect of interventional therapy and simple drug therapy on senile myocardial infarction. Methods 80 patients with acute myocardial infarction diagnosed in our hospital from December 2008 to December 2011 were selected, all of whom were the first patients with AMI. Patients were divided into observation group and control group according to the suitability of interventional therapy and the patients’ wishes. Forty patients in each group were eligible and eligible for interventional therapy. The patients who were unwilling and unsuitable for interventional therapy were treated as conservative group. Interventional group PCI, conservative group given conventional drugs aspirin myocardial infarction, clopidogrel, statin lipid-lowering drugs, ACEI drugs, β-blockers and other conservative treatment. Results After treatment, E / A, LVESV, LVEDV and LVEF in observation group were better than those in control group (P <0.05). Conclusion Interventional treatment in elderly patients with acute myocardial infarction can save the myocardial infarction, reduce infarct size, improve cardiac function and improve ventricular remodeling in a relatively short period of time.