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目的:探讨急性心肌梗死患者给予延迟经皮冠脉介入治疗的临床效果。方法:选取本院2014年1月至2015年12月收治的100例急性心肌梗死患者为研究对象,随机分为对照组和观察组,各50例,分别给予常规药物溶栓治疗和延迟经皮冠脉介入治疗,观察比较两组患者的治疗效果。结果:治疗1周后,两组患者左室射血分数、左室舒张末期内径以及左室收缩末期内径没有明显的变化,组间比较,差异无统计学意义(P>0.05)。治疗半年后,两组患者左室舒张末期内径以及左室收缩末期内径上升,观察组患者左室射血分数上升,对照组患者左室射血分数下降,两组比较,差异具有统计学意义(P<0.05)。观察组患者左室舒张末期内径以及左室收缩末期内径明显低于对照组患者,不良事件发生率明显低于对照组患者,差异具有统计学意义(P<0.05)。结论:延迟经皮冠脉介入治疗急性心肌梗死,有助于改善患者各项心脏超声指标,提高患者的治疗效果。
Objective: To investigate the clinical effect of delayed percutaneous coronary intervention in patients with acute myocardial infarction. Methods: A total of 100 acute myocardial infarction patients admitted from January 2014 to December 2015 in our hospital were selected and randomly divided into control group and observation group, 50 cases in each group. All patients were given conventional drug thrombolysis and delayed percutaneous Coronary interventional therapy, observation and treatment of two groups of patients. Results: After 1 week of treatment, left ventricular ejection fraction, end-diastolic diameter of end-diastole and end-systolic diameter of left ventricle did not change significantly in both groups. There was no significant difference between two groups (P> 0.05). After six months of treatment, left ventricular end-diastolic diameter and end-diastolic diameter increased in both groups. The left ventricular ejection fraction increased in the observation group and the left ventricular ejection fraction decreased in the control group. There was significant difference between the two groups P <0.05). The left ventricular end-diastolic diameter and left ventricular end-systolic diameter in the observation group were significantly lower than those in the control group. The incidence of adverse events in the observation group was significantly lower than that in the control group (P <0.05). Conclusion: Delayed percutaneous coronary intervention in patients with acute myocardial infarction, help to improve the cardiac ultrasound in patients with various indicators to improve the therapeutic effect of patients.