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目的:结合临床接诊经验,对比分析急诊与择期PCI治疗急性心肌梗死的效果。方法:将我院2013年6月~2013年12月接诊的52例急性心肌梗死患者作为研究对象,随机将患者分为对照组与观察组。对照组26例患者入院后接受择期PCI治疗,观察组26例患者则接受急诊PCI治疗。对比两组患者治愈率、治疗总有效率、术后并发症发生率、病死率等情况,分析两种手术方式的治疗效果。结果:相较于对照组,观察组患者治愈率明显更高,术后并发症发生率明显更低,两组对比差异显著(P<0.05),具有统计学意义。另外,两组患者治疗总有效率与病死率无明显差异(P>0.05),不具有统计学意义。结论:相较于择期PCI,给予急性心肌梗死患者急诊PCI治疗,有利于提高治愈率,降低术后并发症发生率,适合于临床推广应用。
OBJECTIVE: To compare the clinical effects of emergency treatment with elective PCI in the treatment of acute myocardial infarction. Methods: Fifty-two patients with acute myocardial infarction admitted from June 2013 to December 2013 in our hospital were randomly divided into control group and observation group. Twenty-six patients in the control group received elective PCI after admission, while 26 patients in the observation group received emergency PCI. The cure rate, total effective rate, postoperative complication rate and case fatality rate were compared between the two groups, and the therapeutic effects of the two surgical methods were analyzed. Results: Compared with the control group, the cure rate of the observation group was significantly higher, the incidence of postoperative complications was significantly lower, the difference between the two groups was significant (P <0.05), with statistical significance. In addition, the two groups of patients treated with no significant difference in total effective rate and mortality (P> 0.05), not statistically significant. Conclusion: Compared with elective PCI, giving emergency PCI in patients with acute myocardial infarction can improve the cure rate and reduce the incidence of postoperative complications, which is suitable for clinical application.