摘要
目的观察急诊PCI治疗与急诊溶栓治疗对急性心肌梗死患者BNP及心功能的影响。方法选取2014年4月~2017年4月期间于本院就诊及治疗的56例急性心肌梗死患者作为研究对象,按照随机数字表法分为两组,每组各有28例患者,对照组患者给予急诊溶栓治疗,观察组患者给予急诊PCI治疗,对比并分析两组患者治疗效果。结果观察组治疗之后的脑钠肽(BNP)水平与对照组比较,差异有统计学意义(P<0.05),观察组治疗后左侧心室射血分数(LEVF)、左侧心室舒张末径(LVEDD)与对照组比较,差异有统计学意义(P<0.05)。结论与应用急诊溶栓治疗相比,对急性心肌梗死患者实施急诊PCI治疗的效果更佳,可明显降低患者的BNP,改善患者的心功能。
Objective To observe and explore the effect of emergency PCI and emergency thrombolytic therapy on BNP and cardiac function in patients with acute myocardial infarction. Methods 56 patients with acute myocardial infarction who were diagnosed and treated in our hospital from April 2014 to April 2017 were selected as the subjects. According to the random number table method, the patients were divided into two groups, with 28 patients in each group. Patients in the control group were given emergency thrombolytic therapy, and patients in the observation group were given e-mergency PCI. The effects of the two groups were compared and analyzed. Results The levels of brain natriuretic pep- tide （BNP） after treatment in the observation group was compared with that in the control group, and the difference was statistically significant（P〈0.05）. The left ventricular ejection fraction（tVEF）, left ventricular end diastolic diameter （tVEDD） in the observation group after treatment was compared with those in the control group, and the differences were statistically significant（P〈0.05）. Conclusion Compared with the application of emergency thrombolytic therapy, the implementation of emergency PCI for the patients with acute myocardial infarction has a better effect, which can signif- icantly reduce the patients＇ BNP, and improve patients＇ cardiac function.
作者
刘飞
张玉柱
LIU Fei;ZHANG Yuzhu(Department of Emergency, Zaozhuang Mining Group Tengnan Hospital, Weishan 277606, Chin)
出处
《中国现代医生》
2017年第30期87-89,共3页
China Modern Doctor
关键词
急诊PCI治疗
急诊溶栓治疗
急性心肌梗死
BNP
心功能
Emergency PCI
Emergency thrombolytic therapy
Acute myocardial infarction
BNP
Cardiac function
