52例急性心梗并行再灌注治疗的临床研究.docVIP

精品论文 参考文献 52例急性心梗并行再灌注治疗的临床研究 苏平 （内蒙古鄂尔多斯市中心医院心内一科 内蒙古 鄂尔多斯 017000） 【摘要】 目的：讨论急性心梗并行再灌注治疗的临床研究疗效。方法：选取我院2012年4月至2014年5月中收治的52例患者作为本次研究对象，分析患者根据不同的治疗方法，分别为：易化PCI组、直接PCI组以及溶栓组。比较各组在进行不同治疗方法后，在并发症、出血率、死亡率以及血管的开通率之间的差异。结果：易化PCI组与直接PCI组的患者未出现较严重的并发症，溶栓组患者出现心衰、心率失常的现象，发生率为29.41%；易化PCI组出血率为29.41%，直接PCI组出血率为11.11%，溶栓组出血率为23.53%；易化PCI组与直接PCI组的患者无死亡的病例，而溶栓组患者死亡率为11.76%；易化PCI组与直接PCI组可使患者的血管开通率达到100%，而溶栓组患者的血管开通率为82.35%。结论：直接PCI治疗效果较易化PCI与溶栓更好，并发症、出血率等都比其他两种效果更明显。 【关键词】 急性心梗；再灌注治疗；临床研究 【中图分类号】R45 【文献标识码】A 【文章编号】2095-1752（2016）02-0013-01 Clinical study of 52 cases of acute myocardial infarction treated by concurrent reperfusion therapy Su Ping. Erdos Central Hospital, Inner Mongolia, Erdos017000, China 【Abstract】Objective To discuss the clinical effect of acute myocardial infarction in the treatment of acute myocardial infarction. Methods Choose 52 cases of patients treated in our hospital from April 2012 to May 2014 were selected as the research object, and analyzed the patients according to the different treatment methods, were: easy PCI group, direct PCI group and thrombolysis group. The differences in complications, bleeding rate, mortality and the rate of blood vessels were compared between the groups. Results Patients with PCI group and PCI group had no complications, the incidence of heart failure and arrhythmia was 29.41%, the bleeding rate was 29.41% in PCI group, 23.53% in PCI group, 11.76% in PCI group and 11.11% in PCI group, but 82.35% in thrombolysis group and 100% in thrombolysis group. Conclusion The treatment effect of PCI was more effective than that of PCI and thrombolysis. The complications and bleeding rate were more obvious than those of the other two. 【Key words】Acute myocardial infarction; Reperfusion therapy; Clinical research 急性心肌梗死是由于冠状动脉持续性的缺血缺氧而引起的心肌坏死。常常会并发心律失常、休克等现象，严重会危及到生命。因此对急性心肌梗死患者就诊后，应尽快做出诊断，并制定再灌注治疗的策略[1]。本文选取我院2012年4月至2014年5月中52例患者为本次研究对象，总结并归纳心得体会，现将研究报告如下： 1.资料与方法 1.1一般资料 选取我院2