论文部分内容阅读
目的:通过观察急性心梗患者住院期间心血管事件的发生情况来评价早期溶栓在急性心梗治疗中的价值。方法:收集2003年1月～2007年12月收入ICU病房的急性心肌梗死患者120例,分为早期溶栓组和非早期溶栓组,观察住院后24小时、7天及15天的梗死后心绞痛发生情况,心功能状态,低血压,各种心律失常发生情况,以及死亡率等情况,进行统计学分析。结果:①经统计学处理,早期溶栓组和非早期溶栓组在性别、年龄、入院时血糖、尿素氮、白细胞、血脂及梗塞部位等方面无明显差别,无统计学意义。②经统计学处理,两组患者住院期间心血管事件发生率及死亡率有显著差别,早期溶栓组住院期间心血管事件发生率及死亡率明显减少。结论:早期溶栓治疗较非早期溶栓治疗明显降低住院期间心血管事件的发生率及死亡率。
OBJECTIVE: To evaluate the value of early thrombolysis in the treatment of acute myocardial infarction by observing the incidence of cardiovascular events during hospitalization in patients with acute myocardial infarction. Methods: A total of 120 acute myocardial infarction patients with ICU ward from January 2003 to December 2007 were collected and divided into early thrombolytic group and non-early thrombolytic group. After 24 hours, 7 days and 15 days after hospitalization, Angina pectoris, cardiac function, hypotension, various arrhythmias, and mortality were analyzed statistically. Results: ①There was no significant difference between the early thrombolysis group and the non-early thrombolysis group in terms of sex, age, blood glucose, urea nitrogen, white blood cells, blood lipids and infarction site after statistical treatment. ② Statistically, there was a significant difference in the incidence of cardiovascular events and mortality between the two groups during hospitalization. The incidence of cardiovascular events and mortality in the early thrombolytic group during hospitalization were significantly reduced. Conclusion: Early thrombolytic therapy significantly reduces the incidence of cardiovascular events and mortality during hospitalization compared with non-early thrombolytic therapy.