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急性非ST段抬高心肌梗死患者86例急诊诊疗状况回顾性分析 被引量:7

Retrospective analysis of the emergency treatment about 86 cases of acute non-ST-segment elevation myocardial infarction
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摘要 目的:观察急性非ST段抬高心肌梗死急诊患者不同诊疗方式的疗效,评价不同诊疗方式的临床应用价值。方法:回顾性分析我院急诊科于2007年1月~2010年3月收治抢救的急性非ST段抬高心肌梗死患者86例的临床资料,分析不同治疗方式的疗效及对预后的影响。结果:经皮冠状动脉腔内介入治疗(PCI)药物应用与普通药物治疗差异无统计学意义(P>0.05),临床疗效优于普通药物治疗,其心血管不良事件的发生率及死亡率也较普通药物治疗更低(P<0.05)。结论:普通药物联合经皮冠状动脉腔内介入治疗是治疗急性非ST段心肌梗死的有效手段,可明显改善近期预后。 Objective: To observe and valuate the efficacy of different treatments of acute non-ST-segment elevation myocardial infarction.Methods: 86 cases acute non-ST segment elevation myocardial infarction patients were retrospectively analyzed in emergency department of our hospital from January 2007 to March 2010.Then meta-analysis the efficacy of different treatment modalities and prognosis.Results: There had no significant difference between percutaneous transluminal coronary intervention(PCI) and general medical treatment of drug application(P0.05),while clinical efficacy was superior to the general drug treatment.The incidence of cardiovascular events and mortality was also lower than the general drug treatment(P0.05).Conclusion: It is an effective means of common drug combined transluminal percutaneous coronary intervention in treating acute non-ST segment myocardial infarction.It can improve the prognosis significantly.
作者 赵立众
出处 《中国医药导报》 CAS 2011年第21期41-43,共3页 China Medical Herald
关键词 心肌梗死 非ST段抬高 介入干预 Acute myocardial infarction Non-ST-segment elevation Intervention
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参考文献6

  • 1Antman EM, Anbe DT, Armstrong PW, et al. ACC/AHA Guidelines for the management of patients with ST-elevation myocardial infarction [J].J Am Coil Cardiol,200d,44(3):671-719.
  • 2宋现涛,陈韵岱,潘伟琦,金泽宁,刘欣,陈华,吕树铮,赵冬.1165例急性心肌梗死患者诊疗现状回顾性分析[J].心肺血管病杂志,2006,25(3):138-142. 被引量:14
  • 3Coons JC, Battistone S. 2007 Guideline update for unstable angina/non- ST-segment elevation myocardial infarction: focus on antiplatelet and anticoagulant therapies [J] .Ann Pharmacother,2008,42(7):989-1001.
  • 4Montalescot G, Dabbous OH, Lim M J, et al. Relation of timing of cardiac catheterization to outcomes in patients with non-ST- segment elevation myocardial infarction or unstable angina pectoris enrolled in the multinational global registry of acute coronary events [J].Am J Cardiol, 2005,95(12):1397-1403.
  • 5Fox KA, Pool-willson P, Clayton PC, et al. 5-year outcome of an interventional strategy in non-ST-elevation acute coronary Syndrome:the British Heart Foundation RITA3 rand-omised trial[J].Lancet,2005,366 (9489):914-920.
  • 6Mehta SR, Cannon CP, Fox KA, et al. Routine vs selective in-vasive strategies in patients with acute coronary syndromes: a collaborative meta-analysis of randomized trims [J]. JAMA,2005,293(23):2908-2917.

二级参考文献12

  • 1American heart association:Heart and stroke facts:1996 statistical supplement.dallas,american heart association.1996,1-23.
  • 2Ryan TJ,Anderson JL,Antman EM,et al.ACC/AHA guidelines for the management of patients with acute myocardial infarction:a report of the American college of cardiology/Americal heart association task force on practice guidelines(Committee on management of acute myocardial infarction).J Am Coll Cardiol,1996,28:1328-1428.
  • 3Malmberg K,Ryden L.Myocardial infarction in patients with diabetes mellitus.Eur Heart J,1988,9:256-264.
  • 4Steven PM,Brian PG,Eric JT.Manual of cardiovascular medicine.LIPPINCOTT WILLIAMS & WILKINS,2000,15.
  • 5The global use of strategies to open occluded coronary arteries in acute coronary syndromes(GUSTO Ⅱb) angioplasty substudy investigators.a clinical trial comparing primary coronary angioplasty with tissue plasminogen activator for acute myocardial infarction.N Engl J Med,1997,336:1621-1628.
  • 6The TIMI research group.Immediate vs delayed catheterization and a ngioplasty following thrombolytic therapy for acute myocardial infarction.JAMA,1988,260:2849-2858.
  • 7SWIFT(should we intervene following thrombolysis?) trial study group:SWIFT trial of delayed elective intervenention v.conservative treatment after thrombolysis with anistreplase in acute myocardial infarction.BMJ,1991,302:555.
  • 8Hochman JS,Boland J,Sleeper LA,et al.Current spectrum of cardiogenic shock and effect of early revascularization on mortality:results of an international registry:SHOCK registry investigators.Circulation,1995,91:873.
  • 9White HD,Van de Werf FJ.Thrombolysis for acute myocardial infarction.Circulation,1998,97:1632-1646.
  • 10Eugene B.A textbook of cardiovascular medicine.W.B.SAUNDERS COMPANY,1997,1107.

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