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急诊介入和静脉溶栓治疗对急性心肌梗死患者心率变异性影响
引用本文:崔惠康,张叶. 急诊介入和静脉溶栓治疗对急性心肌梗死患者心率变异性影响[J]. 安徽医药, 2013, 17(8): 1400-1401
作者姓名:崔惠康  张叶
作者单位:皖北煤电集团总院心内科,安徽,宿州,341300;皖北煤电集团总院心内科,安徽,宿州,341300
摘    要:目的观察急诊冠状动脉介入(PCI)和静脉溶栓两种治疗方法对急性心肌梗死患者心率变异性影响。方法回顾性分析2008年3月—2013年3月在该院住院76例急性心肌梗死病人,分为急诊介入组和静脉溶栓组,介入组在常规治疗基础上12h内行急诊PCI术;静脉溶栓组在常规治疗基础上6 h内行静脉溶栓,两组均在术后常规行动态心电图检查,比较两组治疗后心率变异性指标差异。结果介入治疗组较静脉溶栓组能明显改善变异性参数(P0.01,P0.05)。结论急性心肌梗死介入治疗较静脉溶栓治疗可以提高心率变异性。

关 键 词:急性心肌梗死  急诊PCI  静脉内溶栓  心率变异性

Influence of emergency percutaneous coronary intervention and intravenous thrombolysis on heart rate variability in patients with acute myocardial infarction
CUI Hui-kang,ZHANG Ye. Influence of emergency percutaneous coronary intervention and intravenous thrombolysis on heart rate variability in patients with acute myocardial infarction[J]. Anhui Medical and Pharmaceutical Journal, 2013, 17(8): 1400-1401
Authors:CUI Hui-kang  ZHANG Ye
Affiliation:(Department of Cardiology,Coal Group General Hospital of Northern Anhui,Suzhou,Anhui 341300,China)
Abstract:Objective To investigate the influence on heart rate variability in patients with acute myocardial infarction(AMI) undergoing emergency percutaneous coronary intervention(PCI) or intravenous thrombolysis.Methods 76 in-hospital patients with AMI were analyzed retrospectively over the period from March 2008 to March 2013,and were divided into emergency PCI group in which patients underwent emergency PCI within 12 hours and intravenous thrombolysis group in which patients received intravenous thrombolysis within 6 hours.Patients in both groups were given conventional therapy and received dynamic electrocardiogram examination after PCI or intravenous thrombolysis.Indexes of heart rate variability were compared between two groups.Results Heart rate variability parameters in emergency PCI group were significantly improved compared with intravenous thrombolysis group(P 0.01,or P 0.05).Conclusion Compared with intravenous thrombolysis,emergency PCI improve heart rate variability in patients with AMI.
Keywords:acute myocardial infarction  emergency percutaneous coronary intervention  intravenous thrombolysis  heart rate variability
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