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目的:研究并探讨静脉溶栓与介入治疗老年急性心肌梗死的临床疗效。方法:选取100例老年急性心肌梗死患者进行分组对比研究,选取自2012年1月-2015年6月。采取数字抽签法进行分组,分为各有50例患者的对照组和观察组。对照组患者施行直接介入治疗,观察组患者先进行静脉溶栓治疗再进行介入治疗。对比两组患者的ST波段下移率、胸痛缓解率、左心射血分数以及术后冠脉再狭窄率。结果:观察组患者的ST波段下移率、胸痛缓解率分别为88%、80%,明显高于对照组的56%、52%(P<0.05)。与对照组相比,观察组患者的左心射血分数明显增高(P<0.05)。观察组患者的术后冠脉再狭窄率为6%,明显低于对照组的20%(P<0.05)。结论:在老年急性心肌梗死的临床治疗中应用静脉溶栓联合介入治疗,具有显著的临床疗效,能够促使ST波段有效下移,缓解胸痛症状,改善左心射血分数,减少术后冠脉再狭窄的发生。
Objective: To study and explore the clinical efficacy of intravenous thrombolysis and interventional treatment of senile acute myocardial infarction. Methods: 100 cases of elderly patients with acute myocardial infarction were compared between groups, selected from January 2012 - June 2015. Divided into digital lottery method divided into 50 patients each control group and observation group. Patients in the control group received direct interventional therapy, and patients in the observation group received intravenous thrombolysis followed by interventional therapy. ST-band shift, chest pain relief, left ventricular ejection fraction, and postoperative coronary restenosis were compared between the two groups. Results: The down-shift rate of ST-wave and chest pain in observation group were 88% and 80% respectively, which was significantly higher than 56% and 52% of control group (P <0.05). Compared with the control group, patients in the observation group had a significantly higher LVEF (P <0.05). The rate of postoperative coronary restenosis in the observation group was 6%, which was significantly lower than that in the control group (P <0.05). Conclusion: The combination of intravenous thrombolysis and interventional therapy in the treatment of senile acute myocardial infarction has significant clinical curative effect, which can effectively reduce the ST wave band, relieve the symptoms of chest pain, improve left ventricular ejection fraction, Strict occurrence.