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急诊PCI和择期PCI治疗急性心肌梗死220例对比研究
引用本文:王建新,樊川民,崔旭辉,毛亚妮.急诊PCI和择期PCI治疗急性心肌梗死220例对比研究[J].陕西医学杂志,2010,39(9):1208-1210.
作者姓名:王建新  樊川民  崔旭辉  毛亚妮
作者单位:陕西省咸阳市中心医院心血管二科,咸阳,712000
摘    要:目的:探讨急诊PCI与择期PCI治疗急性心肌梗死的疗效差异。方法:对220例急性心肌梗死患者分别进行急诊PCI(98例)和择期PCI(122例),观察其临床治愈率、术后心绞痛发作及病死率。结果:急诊PCI治愈率高于择期PCI(P<0.05),但其总有效率无显著性差异(P>0.05),术后1周心绞痛发作情况,急诊PCI低于择期PCI(P<0.05),随访期间病死率两组无显著性差异(P>0.05)。结论:急诊PCI较择期PCI具有一定优势,有助于术后康复。

关 键 词:心肌梗塞/治疗  @经皮冠状动脉介入  对比研究

Clinical trial of emergency PCI and selective PCI on acute myocardial infarction
Institution:The Second Department of Cardiology of Xianyang Central Hospital,Shaanxi Province(Xianyang 712000) Wang Jianxin Fan Chuanmin Cui Xuihui et al
Abstract:Objective:To explore the curative effect difference of emergency percutaneous coronary intervention(PCI) and selective PCI on acute myocardial infarction.Methods:220 patients,including emergency PCI 98 patients,selective PCI 122 patients,analysis the clinical healing rate,angina pectoris attacks after operation and fatality rate.Results:The healing rate of emergency PCI was higher than selective PCI(P0.05),however,there was no difference in two groups on total effective rate(P0.05),angina pectoris attacks after operation,the emergency PCI was lower than selective PCI(P0.05),and there was no difference about fatality rate in follow up days(P0.05).Conclusion:More advantages of emergency PCI,which is helpful for postoperative rehabilitation and should be spreaded and utilized.
Keywords:Myocardial infarction/therapy @Percutaneous coronary intervention Comparative study
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