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目的床旁超声心动图对急性心肌梗死患者急诊冠状动脉介入治疗(percutaneous coronary intervention PCI)术后心肌节段性运动及EF值变化的评价。方法收集我院2012年12月~2013年6月急性心肌梗死(AMI)患者92例,应用床旁超声心动图观察急诊PCI术后受累心肌节段性运动及EF值变化的影响。结果急性心肌梗死患者急诊PCI术后心肌节段性运动较术前差异有统计学意义(P<0.05);EF值较术前差异有统计学意义(P<0.05)。结论床旁超声心动图可以早期发现室壁运动异常,判断梗死心肌的范围和大小,评估心功能,指导治疗及评估疗效。
Objective To evaluate the changes of myocardial segmental movement and EF after bedside echocardiography in patients with acute myocardial infarction after percutaneous coronary intervention. Methods 92 patients with acute myocardial infarction (AMI) from December 2012 to June 2013 in our hospital were collected. The bedside echocardiography was used to observe the changes of myocardial segmental movement and EF after PCI. Results There was significant difference in myocardial segmental movement after PCI between acute myocardial infarction patients and preoperative patients (P <0.05). There was significant difference in EF between the two groups (P <0.05). Conclusion Bedside echocardiography can detect abnormalities of wall motion early, determine the scope and size of infarcted myocardium, evaluate cardiac function, guide treatment and evaluate the curative effect.