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目的:比较择期完全开通和不完全开通急性心肌梗死(AMI)患者非梗死相关血管的临床预后。方法:收集2007-01-2008-12在我院所有直接行冠状动脉介入治疗(PCI)的AMI患者154例,对非梗死相关血管择期完全血管开通与不完全血管开通进行临床预后分析。结果:所有病例随访1年以上,完全血管开通组心绞痛发生率显著低于不完全血管开通组(4∶20,P=0.009),其余临床事件,2组差异均无统计学意义。结论:AMI患者完全血管开通较不完全开通能有效改善患者生活质量,但对患者主要心脏不良事件无显著差异。
OBJECTIVE: To compare the clinical outcomes of patients with non-infarct-related vessels who were fully elective and those with incomplete AMI. Methods: A total of 154 acute myocardial infarction patients undergoing coronary intervention (PCI) from January 2007 to December 2008 in our hospital were enrolled in this study. Clinical prognostic analysis was performed on patients with non-infarct-related vessels undergoing elective complete or partial vasoconstriction. Results: All cases were followed up for more than 1 year. The incidence of angina pectoris in complete revascularization group was significantly lower than that in incomplete revascularization group (4:20, P = 0.009). There was no significant difference in other clinical events and two groups. Conclusion: The complete opening of complete blood vessel in patients with AMI can improve the quality of life effectively, but there is no significant difference in the main adverse cardiac events in patients.