静脉溶栓治疗老年急性心肌梗死的疗效观察

目的观察静脉溶栓治疗老年人急性心肌梗死(AMI)的效果与安全性。方法采用静脉溶栓治疗老年急性心肌梗死患者42例(观察组),采用常规方法治疗老年急性心肌梗死患者38例(对照组),观察两组疗效。结果观察组的再通率显著高于未溶栓对照组(P<0.05),出血发生率两组比较差异无统计学上的意义(P>0.05),6周后观察组的死亡率明显比对照组低(P<0.05)。结论静脉溶栓治疗老年急性心肌梗死是有效、安全的。

Study the Intravenous Thrombolysis Treatment in Aged Patients with Acute Myocardial Infarction the Effect and the Safety

Objective To study the intravenous thrombolysis treatment in aged patients with acute myocardial infarction （ AMI ） the effect and the safety. Methods Retrospective analysis of use, the intravenous thrombolysis treatment to elderly patients with acute myocardial infarction of the 42 patients with clinical material and conventional therapy and use of 38 cases of elderly patients with acute myocardial infarction of research and analysis. Results The observation group thrombolysis is signifi- cantly higher than the rate of not thrombolysis in control group （P 〈 0. 05 ）, bleeding and thrombolysis group compared the differ- ence was not statistically significant （ P 〉 0. 05 ）, six weeks after thrombolysis group of mortality than obvious not thrombolysis low group （ P 〈 0.05 ）. Conclusion The use of intraenous thrombolysis treatment to the old acute myocardial infarction is effective and safe.