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目的观察比较急诊冠脉介入(PCI)与静脉溶栓(IVT)对急性心肌梗死的影响。方法观察两组患者在接受治疗后心绞痛发生率、血栓、冠状动脉开通率、心功能及住院时间等情况。结果经比较,接受急诊冠脉介入治疗(PCI)的患者冠状动脉开通率高达95%,心绞痛发生率、死亡率及住院时间均低于接受静脉溶栓(IVT)的患者。结论急诊冠脉介入治疗(PCI)冠状动脉开通率高,使患者心功能得到改善,减少住院时间,降低死亡率,是十分有效的治疗方法,值得在临床上实施与推广。
Objective To compare the effects of acute coronary intervention (PCI) and intravenous thrombolysis (IVT) on acute myocardial infarction. Methods The incidence of angina, thrombosis, the rate of coronary artery opening, heart function and hospital stay after treatment were observed in two groups of patients. Results Comparing 95% of patients undergoing PCI with coronary closure, the incidence of angina, mortality and length of hospital stay were lower than those receiving intravenous thrombolysis (IVT). Conclusions Emergency coronary intervention (PCI) has a high rate of coronary artery opening, which can improve cardiac function, reduce hospitalization time and reduce mortality. It is a very effective treatment and is worthy of clinical implementation and promotion.