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目的:分析老年人急性心肌梗塞(AMI)溶栓疗效的影响因素。方法:106例AMI患者分为≥70岁组(31例)、<70岁组(75例)均在发病6小时内接受尿激酶150万单位静脉溶栓治疗。结果:≥70岁组与<70岁组血管再通率无差异(P>0.05),血管再通与血管未通者比较病死率有差异(P<0.05),溶栓开始越晚病死率越高。结论:AMI的溶栓疗效与年龄无关,与血管是否再通密切相关,疗效与溶栓时间呈显著依赖关系。
Objective: To analyze the influencing factors of thrombolysis in elderly patients with acute myocardial infarction (AMI). Methods: One hundred and sixty patients with AMI were divided into two groups (≥70 years old) (31 cases). In the group of 70 years old (75 cases), 1.5 million patients received intravenous thrombolysis of urokinase within 6 hours. Results: There was no significant difference in the rate of recanalization (P> 0.05) between the group of ≥70 years and the group of <70 years (P> 0.05). The mortality of recanalization group was higher than that of the vascular group (P <0.05) high. Conclusion: The curative effect of thrombolysis in AMI has nothing to do with the age, and is closely related to whether vascular recanalization or not. The curative effect is significantly dependent on the thrombolytic time.