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目的探讨和分析经皮冠状动脉介入治疗老年急性心肌梗死的临床疗效,总结其临床价值。方法回顾性分析具有完整临床资料的2008年10月至2011年10月来安阳市安钢职工总医院就诊的老年急性心肌梗死患者40例,随机分为观察组和对照组两组,每组20例,对照组给予常规药物进行治疗,观察组给予经皮冠状动脉介入治疗,观察比较两组不同治疗方法对老年急性心肌梗死的临床疗效。结果对照组患者开通梗死动脉6 h 7例,6～12 h 4例,12～24 h3例,总开通率为70.00%。观察组患者开通梗死动脉6 h 12例,6～12 h 7例,总开通率为95.00%。经χ2检验,两组患者梗死动脉开通率比较差异有统计学意义(P<0.05),观察组疗效优于对照组。结论经皮冠状动脉介入治疗老年急性心肌梗无疗效显著,是治疗老年急性心肌梗死的有效方法之一,值得临床推广和应用。
Objective To investigate and analyze the clinical effect of percutaneous coronary intervention on elderly patients with acute myocardial infarction and to summarize its clinical value. Methods A retrospective analysis of 40 patients with senile acute myocardial infarction from Anyang Staff and Workers General Hospital of Anyang from October 2008 to October 2011 with complete clinical data was randomly divided into observation group and control group with 20 cases in each group Cases, the control group given conventional drugs for treatment, the observation group were given percutaneous coronary intervention, the observed and compared two groups of different treatment of elderly patients with acute myocardial infarction clinical efficacy. Results The control group had 7 cases of infarction artery 6 h, 6 cases of h 12 h, 3 cases of 12 ~ 24 h, the total opening rate was 70.00%. In the observation group, 12 cases of infarction artery opened for 6 h and 7 cases of 6 ~ 12 h, the total opening rate was 95.00%. The χ2 test, the two groups of patients with infarction artery opening rate difference was statistically significant (P <0.05), the observation group was better than the control group. Conclusion Percutaneous coronary intervention in the treatment of elderly acute myocardial infarction with no significant effect is an effective treatment of elderly patients with acute myocardial infarction is worthy of clinical promotion and application.