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目的 研究急诊介入治疗高危不稳定型心绞痛 (UAP)的效果及安全性。方法 71例UAP患者入院后随机分为两组 :急诊介入治疗组 (4 3例 ) ;非急诊介入治疗组 (2 8例 )。均行冠脉造影和介入治疗。观察 30天内心脏事件 (包括心绞痛、急性心肌梗死、猝死、再次介入治疗及冠脉搭桥手术 )的发生情况 ,症状缓解时间 ,住院时间及住院费用。结果 急诊介入治疗与非急诊介入治疗组比较 ,30天内心脏事件的发生率、症状缓解率及住院时间、住院费用间的差别均有显著性意义 (P <0 0 5 ) ;而手术的成功率及疗效间差别均无显著性意义 (P >0 0 5 )。结论 急诊介入治疗高危的UAP患者效果好 ,安全 ,并可缩短住院时间 ,降低住院费用
Objective To study the efficacy and safety of emergency interventional therapy for unstable angina pectoris (UAP). Methods Totally 71 UAP patients were randomly divided into two groups: emergency intervention group (43 cases) and non-emergency intervention group (28 cases). Coronary angiography and interventional therapy. To observe the occurrence of cardiac events (including angina pectoris, acute myocardial infarction, sudden death, reinfarction and coronary artery bypass grafting) within 30 days, symptom relief time, hospital stay and hospitalization expenses. Results Compared with the non-emergency intervention group, the incidence of cardiac events, the rate of symptom relief, the length of hospital stay and the cost of hospitalization within 30 days of emergency intervention were significantly different (P <0.05). The success rate of surgery There was no significant difference between the two groups (P> 0.05). Conclusion Emergency intervention in the treatment of high-risk patients with UAP is effective and safe, and can shorten the hospital stay and hospital costs