CAJ | 학술논문

目的探讨非ST段抬高型心肌梗死患者介入治疗时机。方法选取我院2011年5月至2013年5月收治疗的90例行PCI治疗的非ST段抬高型心肌梗死患，合并高血压50例，早期行PCI治疗23例，择期行PCI治疗27例；合并糖尿病40例，其中早期行PCI治疗21例，择期行PCI治疗19例。比较早期与择期组患者治疗效果及住院期间的不良心脏事件。结果高血压组患者早期治疗预后及随访6个月效果优于择期治疗；糖尿病组患者早期治疗预后及随访6个月效果不如择期治疗组。结论对于合并有高血压的非ST段抬高型心肌梗死患者应及早进行介入治疗，对于合并有糖尿病的非ST段抬高型心肌梗死患者应择期进行介入治疗更有利于患者的安全。
목적탐토비ST단태고형심기경사환자개입치료시궤。방법선취아원2011년5월지2013년5월수치료적90례행PCI치료적비ST단태고형심기경사환，합병고혈압50례，조기행PCI치료23례，택기행PCI치료27례；합병당뇨병40례，기중조기행PCI치료21례，택기행PCI치료19례。비교조기여택기조환자치료효과급주원기간적불양심장사건。결과고혈압조환자조기치료예후급수방6개월효과우우택기치료；당뇨병조환자조기치료예후급수방6개월효과불여택기치료조。결론대우합병유고혈압적비ST단태고형심기경사환자응급조진행개입치료，대우합병유당뇨병적비ST단태고형심기경사환자응택기진행개입치료경유리우환자적안전。
Objective To investigate the timing of treatment inpatients with non ST segment elevation myocardial infarction. Methods In our hospital in 2011 May~2013 year in Decemberreceived treatment 90 patients underwent PCI treatment of non ST segment elevation myocardial infarction patients, 50 patients with hypertension, 23 cases of early PCI treatment, undergoing PCI treatment in 27 cases;40 cases of diabetes, including early PCI therapy in 21 cases, undergoing PCI treatment 19 cases. Adverse cardiac events compared with patients undergoing early treatment group and during hospitalization. Results Hypertensive patients prognosis and follow-up of 6 months is better than the elective treatment;diabetic patients early treatment prognosis and follow-up of 6 months effect is not as good as the elective treatment group. Conclusion For the patients with non ST segment elevation myocardial infarction complicated with hypertension should be done early interventional therapy for patients, with non ST segment elevation myocardial infarction undergoing interventional therapy of diabetes should be more conducive to the safety of patients.