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目的:探讨急诊介入治疗合并院前心脏骤停急性心肌梗死患者的临床疗效。方法:选取我院2010年1月—2015年10月收治的急性心肌梗死合并院前发现心脏骤停的患者160例,随机分为观察组和对照组,每组80例。观察组患者进行急诊介入治疗,对照组患者进行常规溶栓治疗,比较两组患者的临床疗效和体征指标。结果:观察组临床疗效为显效、有效和无效的分别为51例、21例和8例,治疗总有效率为90.0%,对照组临床疗效为显效、有效和无效的分别为42例、22例和16例,治疗总有效率为80.0%,观察组明显高于对照组(P<0.05);观察组患者出现休克、心力衰竭、心律失常和出血的人数均明显低于对照组(P<0.05)。结论:急诊介入治疗合并院前心脏骤停急性心肌梗死患者具有显著的临床效果,安全性高,值得临床推广使用。
Objective: To investigate the clinical efficacy of emergency intervention in the treatment of patients with acute myocardial infarction in hospital before cardiac arrest. Methods: One hundred and sixty patients with acute myocardial infarction who were admitted to our hospital from January 2010 to October 2015 were randomly divided into observation group and control group with 80 cases in each group. The patients in the observation group were treated with emergency intervention and the patients in the control group were treated by conventional thrombolytic therapy. The clinical curative effect and signs of the two groups were compared. Results: The clinical efficacy of the observation group was markedly effective, effective and ineffective were 51 cases, 21 cases and 8 cases, the total effective rate was 90.0%, the clinical efficacy of the control group was effective, effective and ineffective were 42 cases, 22 cases And 16 cases, the total effective rate was 80.0%, the observation group was significantly higher than the control group (P <0.05); the number of shock, heart failure, arrhythmia and bleeding in the observation group were significantly lower than the control group (P <0.05 ). Conclusion: Emergency interventional therapy combined with pre-hospital cardiac arrest in patients with acute myocardial infarction has a significant clinical effect, high safety, it is worth clinical promotion and use.