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目的评价介入手术治疗对心肌梗死患者心功能及预后的效果。方法将本院2011年3-6月收治的100例急性心肌梗死患者随机分为观察组和对照组,对照组采用药物治疗,观察组择期采用经皮桡动脉介入治疗,两组患者均随访6~12个月,比较两组患者的再住院率、病死率、心功能情况及预后。结果观察组治疗后的左室射血分数(LVEF)、每搏量(SV)、心输出量(CO)显著高于对照组(P<0.05)。两组患者的病死率差异无统计学意义(P>0.05)。观察组的再住院率显著少于对照组(P<0.05)。观察组出院后主要心血管事件的发生率显著低于对照组(P<0.05)。结论择期介入手术治疗能够显著提高心肌梗死患者的心功能,改善患者的预后,效果显著优于药物治疗。
Objective To evaluate the effect of interventional surgery on cardiac function and prognosis in patients with myocardial infarction. Methods 100 cases of acute myocardial infarction admitted to our hospital from March to June in 2011 were randomly divided into observation group and control group, while those in control group were treated with drugs. The patients in observation group were treated with percutaneous radial artery at the same time. Both groups were followed up for 6 ~ 12 months. The rate of hospital rehospitalization, mortality, cardiac function and prognosis were compared between the two groups. Results The left ventricular ejection fraction (LVEF), stroke volume (SV) and cardiac output (CO) in the observation group were significantly higher than those in the control group (P <0.05). There was no significant difference in mortality between the two groups (P> 0.05). The rehospitalization rate in the observation group was significantly less than that in the control group (P <0.05). The incidence of major cardiovascular events after discharge in the observation group was significantly lower than that in the control group (P <0.05). Conclusion Elective interventional therapy can significantly improve cardiac function in patients with myocardial infarction and improve the prognosis of patients, the effect is significantly better than drug treatment.