急性心肌梗死溶栓成功患者PCI临床观察

目的　观察急性心肌梗死患者溶栓成功后 ,进行经皮冠状动脉介入治疗 (PCI)的临床意义。方法　抽取我院急性心肌梗死患者溶栓成功的病例 ,随机分为PCI组和药物保守治疗组 ,观察溶栓后进行PCI对患者心脏功能、胸痛次数、住院天数、病死率、再梗死率的影响。结果　PCI组生活质量明显高于药物保守治疗组 ,PCI组住院天数明显少于药物保守治疗组 (P <0 0 1) ,病程 1月左室射血分数 (LVEF)高于保守治疗组 (P <0 0 1) ,心功能改善优于药物保守治疗组 ,发病后 6月内胸痛发作次数明显少于药物保守治疗组 (P <0 0 1) ,住院期间病死率与 6月内再梗死率未见明显差异。结论　急性心肌梗死患者溶栓成功后 ,作PCI治疗可改善患者生活质量、心功能改善、胸痛发作次数减少。在无条件作急诊PCI的医院 ,溶栓后作补救性PCI是一种较好选择

Efficacies of PCI after successful thrombolysis in acute myocardial infarction

Objective To investigate the efficacies of percutaneous coronary intervention(PCI)after successful thrombolysis in acute myocardial infarction Methods 48 patients with acute myocardial infarction whose thrombus were dissolved successfully,were randomly divided into two groups;conservative group(26 patients)recieved antiplatelet,anticoagulant,ACEI therapies,and PCI group(22 patients)underwent PCI The efficacies of PCI after successful thrombolysis were investigated,including heart function,the times of chest pain and recurrent infarction rate,hospitalization duration and death rate Results The patients'life quality in the PCI group was obviously better than that in the conservative group,and the hospitalization duration was shorter in the PCI group than in the conservative group( P <0 01)?The left ventricular ejection fraction(LVEF)after a month was higher in the PCI group than in the conservative group( P <0 01),and the times of chest pain after infarction in six monthes were lower in the PCI group than in the conservative group(P<0.01).There were no differences of death rates and recurrent myocardial infarction rates between the PCI group and the conservative group Conclusion PCI after successful thrombolysis would improve the patient's life quality and LVEF and reduce the times of chest pain in patients with acute myocardial infarction The remedial PCI is a good choice in the hospital where is no emergency PCI