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目的:观察梗死前心绞痛急诊治疗方法与疗效。方法:回顾性分析2014年1月-2015年12月本院诊治的82例梗死前心绞痛患者资料,根据不同治疗方式分为两组,对照组(40例)采用常规治疗,研究组(42例)采用抗凝、扩冠、解痉等急诊治疗,对比两组临床具体治疗情况。结果:两组治疗后心功能指标(HR、LEVF、LVEDD、LVESD)均较治疗取得前改善,并且研究组改善情况显著优于对照组(P<0.05),研究组心肌梗死、心律失常等不良事件发生率显著低于对照组(P<0.05),住院时间显著短于对照组[(15.46±2.14)d vs(19.88±3.59)d,P<0.05]。结论 :对于梗死前心绞痛患者给予有效急诊治疗,可改善心功能,减少心肌梗死、心律失常等不良事件,同时可缩短住院时间,促进患者早日康复。
Objective: To observe the emergency treatment method and effect of angina pectoris before infarction. Methods: The data of 82 patients with pre-infarction angina treated in our hospital from January 2014 to December 2015 were retrospectively analyzed. According to the different treatment methods, the patients were divided into two groups. The control group (40 cases) ) The use of anticoagulant, crown expansion, antispasmodic and other emergency treatment, comparing the two groups of clinical specific treatment. Results: The indexes of heart function (HR, LEVF, LVEDD, LVESD) in both groups were improved before treatment, and the improvement in the study group was significantly better than that in the control group (P <0.05). In the study group, myocardial infarction and arrhythmia The incidence of incident was significantly lower than that of the control group (P <0.05), and the length of hospital stay was significantly shorter than that of the control group [(15.46 ± 2.14) d vs (19.88 ± 3.59) days, P <0.05]. Conclusions: Effective emergency treatment for patients with pre-infarction angina improves cardiac function and reduces adverse events such as myocardial infarction and arrhythmia. At the same time, it can shorten hospital stay and promote early recovery.