急诊冠脉介入治疗急性心肌梗死的效果分析.pdf

系统医学2023年12月第8卷第24期·内科研究·DOI：10.19368/j.cnki.2096-1782.2023.24.111急诊冠脉介入治疗急性心肌梗死的效果分析苏士奎新沂市人民医院心血管内科，江苏新沂221400[摘要]目的观察冠脉介入（percutaneouscoronaryintervention,）在急性心肌梗死PCI（acutemyocardialinfarc⁃tion,AMI）急诊治疗中的作用。方法选择2021年1月—2022年12月新沂市人民医院收治的70例AMI患者为研究对象，以随机数表法分为对照组和观察组，各35例。对照组实施静脉溶栓治疗，观察组实施PCI治疗。比较两组患者的疗效、心功能指标、不良心血管反应发生率。结果观察组患者的总有效率为94.29%，高=5.285，P<0.05）。治疗前，对比两组患者的心功能指标，差异无统于对照组的74.29%，差异有统计学意义（χ2计学意义（P>0.05）；治疗3d后，观察组患者的左心室射血分数为（59.87±5.33）%，高于对照组的（54.11±5.65）%，N末端B型利钠肽原、左心室收缩末期内径为（112.57±7.11）ng/L、（32.11±3.27）mm，较对照组的（126.35±9.45）ng/L、（38.56±3.24）mm低，差异有统计学意义（P均<0.05）。观察组患者不良心血管反应发生率为5.71%，较对照组的22.86%低，差异有统计学意义（P<0.05）。结论AMI行急诊PCI效果显著，能够改善患者心功能，并减少不良心血管反应。[关键词]急诊冠脉介入；急性心肌梗死；左心室射血分数；不良心血管反应；治疗效果[中图分类号]R542文献[标识码]A文章编号[]2096-1782（2023）12(b)-0111-04AnalysisoftheEffectofEmergencyPercutaneousCoronaryInterventionintheTreatmentofAcuteMyocardialInfarctionSUShikuiDepartmentofCardiovascularMedicine,XinyiPeople'sHospital,Xinyi,JiangsuProvince,221400China[Abstract]ObjectiveToobservetheroleofpercutaneouscoronaryintervention(PCI)intheemergencytreatmentofacutemyocardialinfarctionMethods(AMI).70AMIpatientsadmittedtoXinyiPeople'sHospitalfrom2021JanuarytoDecember2022wereselectedastheresearchsubjects,andwererandomlydividedintocontrolgroupandobserva⁃tiongroupusingarandomnumbertablemethod,with35casesineachgroup.Thecontrolgroupreceivedintravenousthrombolysistreatment,whiletheobservationgroupreceivedPCItreatment.Comparetheefficacy,cardiacfunctionin⁃dicators,andincidenceofadversecardiovascularreactionsbetweentwogroupsResultsofThepatients.totaleffectiverateoftheobservationgrouppatientswas94.29%,whichwashigherthanthecontrolgroup's74.29%,andthediffer⁃encewasstatisticallysignificant2=5.285,P(χ<0.05).Beforetreatment,therewasnostatisticallysignificantdifferenceincardiacfunctionindicatorsbetweenthetwogroupsP>0.05).ofpatientsAfter(3daysoftreatment,theleftventricu⁃larejectionfractionoftheobservationgroup(59.87±5.33)%,patientswaswhichwashigherthanthecontrolgroup's(54.11±5.65)%.TheN-terminalB-t