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目的:比较药物治疗与择期介入治疗急性非ST段抬高性心肌梗死(NSTEMI)的疗效。方法:将我院2009年8月至2011年7月收治的确诊为NSTEMI的患者随机分为观察组和对照组,对照组采用药物治疗,观察组择期采用介入手术治疗,均随访1年,比较两组患者的心脏事件发生率、再住院率、病死率及心功能情况。结果:观察组的心脏事件发生率、再住院率显著少于对照组(P<0.05),心功能显著好于对照组(P<0.05)。两组病死率无显著性差异(P>0.05)。结论:择期介入手术治疗能够显著改善NSTEMI患者的预后,其效果显著优于药物治疗。
Objective: To compare the efficacy of medical therapy and elective interventional therapy for acute non-ST-segment elevation myocardial infarction (NSTEMI). Methods: The patients diagnosed as NSTEMI admitted from August 2009 to July 2011 in our hospital were randomly divided into observation group and control group. The control group was treated with drugs. The observation group was treated with interventional surgery electively. All patients were followed up for 1 year. The incidence of cardiac events, readmission rates, mortality and cardiac function in both groups were also significantly different. Results: The incidence of cardiac events and rehospitalization in the observation group were significantly less than those in the control group (P <0.05). The cardiac function was significantly better in the observation group than in the control group (P <0.05). There was no significant difference between the two groups (P> 0.05). Conclusion: Elective surgery can significantly improve the prognosis of patients with NSTEMI, the effect is significantly better than drug treatment.