Clinical curative effect analysis of percutaneous coronary intervention for acute myocardial infarction
10.11659/jjssx.10E015105
- VernacularTitle:经皮冠状动脉介入治疗急性心肌梗死临床疗效分析
- Author:
Waiqiong LI
;
Gang LI
;
Lubing DONG
;
Shaoxi QIN
- Publication Type:Journal Article
- Keywords:
percutaneous coronary intervention;
acute myocardial infarction;
curative effect
- From:
Journal of Regional Anatomy and Operative Surgery
2015;24(6):663-665
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical curative effect of percutaneous coronary intervention ( PCI) for acute myocardial infarc-tion ( AMI) . Methods Retrospectively analyzed the clinical data of 138 patients with acute myocardial infarction who were admitted into our hospital from September 2012 to September 2014. The 138 patients were divided into the intravenous thrombolysis group (65 cases) and the PCI group (73 cases) according to the different way of treatment. And the basic clinical data, surgical outcomes, complications, and postop-erative follow-up results of the two groups were compared and analyzed. Results Reperfusion rate of related blood vessels,rate of TIMI flow reached grade 3, and score of left ventricular ejection fraction ( LVEF) in the PCI group were significantly higher than that of intravenous thrombolysis group, and the difference is statistically significant (P<0. 05). Degree of residual stenosis in the PCI group were significantly lower than that of intravenous thrombolysis group, and the difference is statistically significant (P<0. 05). Cacoethic ST-segment resolution and average hospital stay of the two groups had no significant difference (P>0. 05). Compared with the intravenous thrombolysis group, the curative effect of the PCI group was obviously better than the intravenous thrombolysis group with a statistically significant difference (P<0. 05). During the follow-up period, arrhythmia, angina, recurrence of myocardial infarction, and mortality within 6 months in the PCI group were all lower than in the intravenous thrombolysis group, and the difference is statistically significant (P<0. 05). Conclusion Per-cutaneous coronary interention for patients with acute myocardial infarction can effectively open the lesion vessels and relieve myocardial nec-rosis in patients, and it is of good curative effect.
