58例急性心肌梗死经皮冠状动脉介入治疗的分析

目的 探讨急性心肌梗死经皮冠状动脉介入治疗的安全性和有效性。方法 58例急性心肌梗死患者,对发生梗死的动脉实施冠状动脉介入手术。结果 患者经皮冠状动脉介入治疗的成功率为96.6%,患者术前心肌梗死溶栓治疗临床试验（TIMI）血流分级结果为I级44例,0级14例,共使用75枚置入支架,术后患者血流TIMIⅢ级者56例,TIMIⅡ级2例,休克时间过长死亡1例,随访6个月-1年,2例患者出现支架再狭窄症状,经二次治疗后治愈,1例再次急性心肌梗死致死亡。结论 对急性心肌梗死患者实施经皮冠状动脉介入治疗安全有效。     

肾小球滤过率估测值评判老年高血压及2型糖尿病并发终末期肾病患者血红蛋白浓度的变化

目的探讨用肾小球滤过率估测值(eGFR)评判的老年高血压及2型糖尿病并发终末期肾病(ESRD)患者血红蛋白(Hb)浓度改变。方法收集高血压及2型糖尿病并发慢性肾病且≥60岁患者230例,将eGFR15ml.min-1.1.73m-2(7.80±3.14ml.min-1.1.73m-2)者归为ESRD组,eGFR≥15ml.min-1.1.73m-2(29.76±12.90ml.min-1.1.73m-2)者归为非ESRD组,回顾性比较两组间Hb浓度。结果较非ESRD组〔Hb(100.8±23.0)g/L〕,ESRD组Hb浓度〔(74.4±22.5)g/L〕显著降低(P0.05),且在ESRD与非ESRD组中eGFR均与Hb浓度显著正相关(P0.05)。结论eGFR评判的老年高血压及2型糖尿病并发ESRD患者Hb浓度显著降低,且eGFR与Hb浓度具有显著正相关性。     

心肌梗死介入治疗与药物溶栓治疗疗效对比分析

目的比较介入治疗（PCI）与药物静脉溶栓治疗心肌梗死的疗效。方法选择我院2010年2月-2011年2月间用上述两种方法治疗的心肌梗死患者150例（介入组与静脉溶栓组各75例）进行跟踪研究,分析2组患者3年内再次心脏事件发生率、生存率及心功能情况。结果随访1年时介入组和溶栓组心脏事件发生分别为11例和14例;随访3年时介入组和溶栓组再次心脏事件发生分别为15例和21例,介入组和静脉溶栓组生存率分别是93．3％和86．7％;介入组心功能优于溶栓组（P〈0．05）。结论介入治疗较静脉溶栓治疗心肌梗死能明显降低再次心脏事件发生率,提高生存率,改善心功能。     

Plasma Hemoglobin Was Decreased in Elderly With Primary Hypertension and/or Type 2 Diabetes Complicated With End-stage Renal Disease

Objectives To study the change in plasma hemoglobin concentration in elderly patients with primary hypertension and/or type 2 diabetes complicated with end-stage renal disease （ESRD） determined by estimated glomerular filtration rate. Methods Two hundred and thirty cases of Chinese patients aged 60 years or older with primary hypertension and/or type 2 diabetes complicated with chronic kidney disease were enrolled in the study. Patients with chronic kidney disease were divided into ESRD group with estimated glomemlar filtration rate less than 15 mL . min^-1.1.73 m^-2 （7.80 ± 3. 14 mL. min^-1 . 1.73 m^-2） and non-ESRD group with estimated glomerular filtration rate 15 mL.min^-1 . 1.73 m^-2（29. 76 ± 12. 90 mL.min^-1 . 1.73 m^-2） or higher. The plasma hemoglobin concentration was compared between the above two groups retrospectively. Results There was significant decrease in plasma hemoglobin concentration in ESRD group compared with non-ESRD group （74.4 ± 22. 5 g/L vs 100. 8 ± 23.0 g/L, P 〈 0. 05 ）. After stratification by sex, there was also significant decrease in plasma hemoglobin concentration both in male and female of ESRD groups compared with their respective non-ESRD groups（77. 2±22. 0 g/L vs 104. 9 ±20. 7 g/L; 69. 7 ±22. 8 g/L vs 96.4± 24.8 g/L, P 〈 0. 05, respectively）. Plasma hemoglobin concentration was positively related to estimated glomerular filtration rate significantly in patients with ESRD （ P 〈 0. 05 ）. Conclusions Plasma hemoglobin concentration is decreased significantly, and is positively related to estimated glomerular filtration rate significantly in elderly patients with primary hypertension and/or type 2 diabetes complicated with ESRD determined by estimated glomerular filtration rate.     

心律失常患者疲劳状况调查及危险因素分析

目的 研究心律失常患者疲劳状况及危险因素.方法 回顾性分析2018年2月至2020年6月于三门峡市中心医院接受诊治的800例心律失常患者的临床资料.对所有患者进行疲劳严重程度量表(FSS)评价,并按照评价结果将其分成疲劳组(412例)与非疲劳组(388例).分别比较两组基线资料(年龄、性别、受教育年限、运动障碍、心律失...     

替罗非班在急性心肌梗死介入治疗中的疗效观察

目的：观察替罗非班在急性心肌梗死（AMI）经皮冠状动脉介入治疗（PCI）中的有效性和安全性。方法90例接受急诊介入治疗的急性心肌梗死患者,随机分为替罗非班组（常规PCI＋替罗非班,45例）和对照组（常规PCI,45例）,均于发病12 h内行急诊PCI术。比较两组患者术后梗死相关血管（IRA）血流TIMI分级情况,左室射血分数（LVEF）指标,术后30 d内出血并发症及主要不良心脏事件（MACE）的发生情况。结果两组患者基础临床情况、术前造影情况差异无统计学意义（P〉0.05）,术后替罗非班组与对照组TIMI 3级血流分别为95.6%（43/45）和88.9%（40/45）,差异具有统计学意义（P〈0.05）;替罗非班组LVEF（58±8）%优于对照组（54±9）%,差异具有统计学意义（P〈0.05）,出血并发症发生率两组比较差异无统计学意义（P〉0.05）;术后30 d内主要不良心脏事件的发生率替罗非班组和对照组分别为6.67%（3/45）和13.33%（6/45）,差异具有统计学意义（P〈0.05）。结论在急性心肌梗死介入治疗中,应用盐酸替罗非班可以改善术后梗死相关血管的TIMI血流情况,减少术后不良心脏事件发生,临床应用安全有效。