摘要
目的:在急性心肌梗死患者中采用经皮冠脉介入术(PCI)联合溶栓治疗,并通过超声心动图检查进行疗效评价。方法:回顾分析2022年7月~2023年12月本院接收的80例急性心肌梗死患者临床资料,对照组40例行PCI术治疗,研究组40例行静脉溶栓联合PCI术治疗。治疗前及治疗1个月均采用超声心动图检查。结果:治疗1个月,两组患者左室质量指数、左室收缩末容积、左室舒张末容积、16节段达最小收缩末体积的时间最大差、标准差占心动周期的百分比、圆周应变和面积应变较治疗前下降,左室射血分数、径向应变较治疗前提高,组间差异有统计学意义(P<0.05)。结论:急性心肌梗死患者行PCI术联合静脉溶栓治疗,能进一步改善其心脏功能,且超声心动图检查作为一种客观、全面的评估手段,能够有效监测患者心肌结构、收缩功能及同步性的变化,为临床疗效评价提供可靠依据。
Objective:Percutaneous coronary intervention(PCI)combined with thrombolytic therapy was used in patients with acute myocardial infarction,and the efficacy was evaluated by echocardiography to explore its application value.Methods:Clinical data of 80 patients with AMI who received treatment from July 2022 to December 2023 were retrospectively analyzed.40 patients in the control group underwent PCI and 40 patients in the study group underwent intravenous thrombolysis combined PCI.Echocardiography was performed before and after 1 month of treatment.Results:One month of treatment,one month of treatment,left ventricular mass index,left ventricular end-systolic volume,left ventricular end-diastolic volume,maximum difference in time to minimum end-systolic volume at 16 segments,percentage of standard deviation to cardiac cycle,circumferential strain and area strain in 2 groups were compared with treatment left ventricular ejection fraction and radial strain were higher than those before treatment,and the difference between groups was statistically significant(P<0.05).Conclusion:PCI combined with intravenous thrombolytic therapy for AMI patients can further improve their cardiac function.Moreover,echocardiography,as an objective and comprehensive assessment method,can effectively monitor the changes in myocardial structure,systolic function and synchrony of patients,providing a reliable basis for the evaluation of clinical efficacy.
作者
闫朝红
YAN Chao-hong(Tianjin Fourth Central Hospital,Tianjin 300140)
出处
《中国医疗器械信息》
2025年第9期131-133,共3页
China Medical Device Information
关键词
经皮冠脉介入术
溶栓
急性心肌梗死
超声心动图
疗效评价
percutaneous coronary intervention(PCI)
thrombolysis
acute myocardial infarction
echocardiography
curative effect evaluation
