介入治疗与保守治疗急性心肌梗死的长期疗效对照

目的探讨介入治疗与保守治疗急性心肌梗死的长期疗效。 方法选取2013年8月~2015年8月我院急性心肌梗死患者100例进行回顾性分组研究。保守组采取保守治疗，介入组采取介入治疗。比较两组患者前壁心肌梗死和下壁心肌梗死1年生存率、心脏事件发生率、再住院率；治疗前和治疗后1年心功能分级。 结果介入组患者前壁心肌梗死1年生存率明显高于保守组，心脏事件发生率、再住院率显著比保守组低（P<0.05）；而两组患者下壁心肌梗死1年生存率、心脏事件发生率、再住院率无显著差异（P>0.05）；两组患者治疗前心功能分级差异不显著（P>0.05）；介入组前壁心肌梗死者治疗后1年心功能分级显著比保守组好（P<0.05）。两组下壁心肌梗死者治疗后1年心功能分级均显著改善，组间无显著差异（P>0.05）。 结论介入治疗与保守治疗急性下壁心肌梗死的长期疗效相似，而前壁心肌梗死的长期疗效来看，则介入治疗效果更好，可提高生存率，降低不良心脏事件发生率和住院率，更好改善患者心功能，值得推广。

Interventional therapy and the long-term efficacy of conservative treatment of acute myocardial infarction

Objective To investigate the interventional therapy and the long-term efficacy of conservative treatment of acute myocardial infarction. Methods A total of 100 cases of patients with acute myocardial infarction in August 2013-August 2013 at our hospital were retrospectively group studed. Conservative groups were performed with conservative treatment; intervention group were taken intervention treatment. We compared two groups of patients with anterior wall myocardial infarction and inferior wall myocardial infarction, 1 year survival rate, incidence of cardiac events, and hospitalization rates; Before and after treatment 1 year cardiac function classification. Results In intervention group of patients with anterior wall myocardial infarction, 1 year survival rate significantly higher than the conservative group, incidence of cardiac events, and hospitalization rates were significantly lower than the conservative group (P<0.05). In two groups of patients with inferior wall myocardial infarction, 1 year survival rate, incidence of cardiac events, and hospitalization rates had no significant differences (P>0.05). Two groups before treatment in patients with cardiac function classification had no significant difference (P>0.05). In intervention group of anterior wall myocardial infarction, cardiac function 1 year after treatment grade were significant better than the conservative group (P<0.05). In two groups of inferior wall myocardial infarction, cardiac function 1 year after treat-ment grading were significantly improved, with no significant difference between groups (P>0.05). Conclusion Interventional treatment and conservative treatment of acute inferior wall myocardial infarction, the long-term efficacy of similar, but the long-term efficacy of anterior wall myocardial infarction, the effectiveness of interventional treatment is better.It can improve the survival rate, reduce the incidence of adverse cardiac events and hospitalization rates.It improves cardiac function in patients, which is worth promoting.