基层医院不同治疗方法对急性心肌梗死患者预后的影响

目的 评价基层医院不同治疗方法对急性心肌梗死(AMI)患者预后的影响.方法 将266例AMI患者根据治疗方法的不同分为药物治疗组(n=78)、静脉溶栓组(n=32)、急诊PCI组(n=38)、择期PCI组(n=118).比较四组入院时、治疗1月后的NT-proBNP水平及心功能指标、出院1年后的主要不良心血管事件(MA...

Effect of different treatment methods on prognosis of patients with acute myocardial infarction in primary hospital

Objective To evaluate the effect of different treatment methods on prognosis of patients with acute myocardial infarction(AMI)in primary hospital.Methods A total of 266 AMI patients were divided into drug treatment group(n=78),intravenous thrombolysis group(n=32),emergency PCI group(n=38)and selective PCI group(n=118)according to different treatment methods.The NT-proBNP level and cardiac function indexes at admission and after one month of treatment,the occurrence of major adverse cardiovascular events(MACE)after one year of discharge and hospitalization cost were compared among the four groups.Results After one month of treatment,the NT-proBNP level of the emergency PCI group and the selective PCI group were lower than that of the drug treatment group and the intravenous thrombolysis group,LVEF were higher than that of the drug treatment group and the intravenous thrombolysis group,LVEDD were smaller than that of the drug treatment group and the intravenous thrombolysis group(P<0.05).After one year of discharge,the total incidence of MACE of the emergency PCI group and the selective PCI group were lower than that of the drug treatment group and the intravenous thrombolysis group(P<0.05).The hospitalization cost of the drug treatment group and the intravenous thrombolysis group were less than that in the emergency PCI group and the selective PCI group(P<0.05).Conclusion PCI can improve the cardiac function indexes of AMI patients and reduce the incidence of MACE.At present,if primary hospitals have the conditions to carry out PCI treatment,PCI treatment should be preferred for AMI patients with economic ability.