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目的分析急诊经皮冠状动脉介入治疗(PCI)急性心肌梗死(AMI)的疗效。方法将2016年1月~2017年1月我院AMI总共63例作研究对象,采用掷硬币法分组。一组为常规溶栓治疗,29例患者,设对照组。另一组为PCI治疗,34例患者,设实验组。治疗后组间对比疗效。结果实验组治疗总有效率较高,血管再通率和TIMI血流3级达标率高,不良反应率和ST段回落不良率较低,住院日短,出院时LVEF较高,经统计学处理差异有统计学意义(P<0.05)。结论 AMI治疗采用PCI方法,疗效显著,血管再通率高,治疗总有效率高,值得推广和应用。
Objective To analyze the effect of emergency percutaneous coronary intervention (PCI) on acute myocardial infarction (AMI). Methods From January 2016 to January 2017, a total of 63 AMI patients in our hospital were studied, and the coin-coin method was used to divide them into groups. A group of conventional thrombolytic therapy, 29 patients, the control group. The other group was PCI, 34 patients, experimental group. Comparison between groups after treatment efficacy. Results In the experimental group, the total effective rate of treatment was high, the rate of vascular recanalization and grade III of TIMI blood flow was high, the adverse reaction rate and ST-segment depression rate were lower, the length of stay was shorter, and the LVEF was higher at discharge. The difference was statistically significant (P <0.05). Conclusion AMI treatment using PCI method, a significant effect, high rate of recanalization, the total effective rate of treatment, it is worth promoting and application.