早期积极溶栓治疗急性心肌梗死83例疗效观察

目的 探讨早期积极溶栓治疗急性心肌梗死的临床疗效.方法 选择笔者所在医院2005年6月至2009年6月收治的83例急性心肌梗死患者,根据以上患者溶栓治疗时间分为观察组和对照组,观察组实施早期溶栓（发病到溶栓治疗时间小于4 h）治疗,对照组实施非早期（从发病到溶栓治疗时间在4～12 h内）溶栓治疗.结果 观察组心绞痛发生率、心力衰竭发生率与对照组比较,差异有统计学意义（P〈0.05）.结论 早期溶栓治疗可以显著降低急性心肌梗死患者心绞痛和心力衰竭发生率,临床治疗效果显著,值得借鉴.

Clinical efficacy of early positive thrombolytic therapy on acute myocardial infarction in 43 patients

Objective To explore the clinical efficacy of early positive thrombolytic therapy on acute myocardial infarction. Methods 83 cases with acute myocardial infarction from June 2006 to June 2009 were divided into observation group and control group according to the time of thrombolytic therapy. The early thrombolytic therapy was used to observation group, the time from the onset to thrombolytic therapy done was shorter than 4 hours, in control group, non - early thrombolytic therapy was used,the time from the onset to thrombolytic therapy done was between 4 hours and 12 hours. Results The incidence of angina pectoris and heart failure in observation group compared with those in control group,there was significantly statistical difference（ P 〈 0. 05 ）. Conclusion Early positive thrombolytic therapy may decrease the incidence of angina pectoris and heart failure, and has significant clinical efficacy. e