论文部分内容阅读
目的探讨急性前壁心肌梗死发病6 h内溶栓与介入PCI治疗效果对比。方法选取我院2009年1月至2012年12月68例急性前壁心肌梗死患者,将其随机分为研究组和对照组,对照组应用溶栓治疗,研究组应用介入治疗,对比两组患者临床疗效。结果两组患者再灌注成功率对比有明显统计学差异(P<0.05);两组患者在初发病时、治疗3 h后cTnT水平并不存在显著差异,治疗6 h时cTnT水平与CKMB峰值对比其差异存在统计学意义(P<0.05)。结论急性前壁心肌梗死患者于6 h内应用介入治疗能够增加再灌注率、减少死亡率,改善预后效果。
Objective To investigate the effect of thrombolysis and PCI during 6 h after onset of acute anterior myocardial infarction. Methods Sixty-eight patients with acute anterior myocardial infarction from January 2009 to December 2012 in our hospital were randomly divided into study group and control group. Thrombolytic therapy was used in the control group. Interventional therapy was used in the study group. Comparing the two groups Clinical efficacy. Results There was a significant difference in the reperfusion success rate between the two groups (P <0.05). There was no significant difference in cTnT level between the two groups at 3 h after treatment, and the level of cTnT at 6 h after treatment was significantly lower than that at CKMB The difference was statistically significant (P <0.05). Conclusion Interventional therapy in patients with acute anterior myocardial infarction within 6 h can increase the rate of reperfusion, reduce mortality and improve prognosis.