引用本文:孙 勇.急诊介入与择期介入对左室急性心肌梗死治疗的影响分析[J].中国临床新医学,2014,7(9):858-860.
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急诊介入与择期介入对左室急性心肌梗死治疗的影响分析
孙 勇
454000 焦作,河南煤化焦煤集团中央医院
摘要:
[摘要] 目的 探讨急诊介入与择期介入对左室急性心肌梗死治疗的影响。方法 选取86例左室急性心肌梗死患者,根据患者出现相应临床症状到行经皮冠脉介入治疗(PCI)的时间分为急诊组(n=29)、延迟1组(n=27)及延迟2组(n=30),测定住院期间及治疗后6个月的左室射血分数(LVEF)及左室舒张末期内径(LVEDD)。结果 急诊及延迟1组LVEF及LVEDD改善明显,差异有统计学意义(P<0.05),而延迟2组改善无明显差异。结论 左室急性心肌梗死的急诊介入及2周前延迟介入对心脏功能均有所改善。
关键词:  急性心肌梗死  介入治疗
DOI:10.3969/j.issn.1674-3806.2014.09.20
分类号:R 54
基金项目:
Analysis of the effect of emergency and selective percutaneous coronary intervention on the treatment of acute left ventricular myocardial infarction
SUN Yong
Henan Coal Coking Coal Group Central Hospital, Jiaozuo 454000, China
Abstract:
[Abstract] Objective To investigate the effect of emergency and selective percutaneous coronary intervention in the treatment of acute left ventricular myocardial infarction.Methods Eighty-six patients with acute left ventricular myocardial infarction were selected in our hospital and divided into the emergency group(n=29), delay group 1(n=27) and delay group 2(n=30).The LVEF and LVEDD were measured at the time of hospitalization and 6 months after treatment.Results In the emergency group and delay group 1,LVEF and LVEDD improved significantly, the difference was statistically significant(P<0.05), but there were no significant difference in LVEF and LVEDD in delay groups 2.Conclusion Emergency PCI and 2 weeks-delayed PCI in the treatment of acute left ventricular myocardial infarction can improve cardiac function.
Key words:  Acute myocardial infarction(AMI)  Intervention treatment