CAJ | 학술논문

目的评价分析急性心肌梗死之前发生心绞痛与不发生心绞痛的对急性心肌梗死的预后的影响。方法2011年8月至2013年1月，我院共收治急性心肌梗死患者400例，将400例患者分成A、B两组，A组患者为梗死前发生心绞痛的195例，B组患者为梗死前未出现心绞痛的患者205例，对两组患者在院治疗期间的治愈率以及并发症、病死率等进行比较分析。结果梗死前发生心绞痛患者的心肌梗死范围明显较梗死前未发生心绞痛患者的面积小（P＜0.05），并发症也明显较未发生梗死的患者减少（P＜0.05），溶栓治疗后，再通率明显较未发生梗死的患者好（P＜0.05）。结论梗死前36h以内发生心绞痛对心肌有较为明显的保护作用，这与心肌的预适应可能有关。
목적평개분석급성심기경사지전발생심교통여불발생심교통적대급성심기경사적예후적영향。방법2011년8월지2013년1월，아원공수치급성심기경사환자400례，장400례환자분성A、B량조，A조환자위경사전발생심교통적195례，B조환자위경사전미출현심교통적환자205례，대량조환자재원치료기간적치유솔이급병발증、병사솔등진행비교분석。결과경사전발생심교통환자적심기경사범위명현교경사전미발생심교통환자적면적소（P＜0.05），병발증야명현교미발생경사적환자감소（P＜0.05），용전치료후，재통솔명현교미발생경사적환자호（P＜0.05）。결론경사전36h이내발생심교통대심기유교위명현적보호작용，저여심기적예괄응가능유관。
Objective Evaluation analysis before angina, acute myocardial infarction and angina have not taken place affect the prognosis of acute myocardial infarction. Methods From August 2011 to January 2013, our hospital treated 400 cases of patients with acute myocardial infarction, 400 subjects were divided into A, B two groups, patients in group A as before infarction angina 195 cases, B group of patients for does not appear before infarction angina 205 cases of patients, on two groups of patients in hospitalization during the cure rate and complications, mortality and other comparative analysis. Results Before infarction angina pectoris in patients with prior myocardial infarction range from infarction occurred in patients with angina pectoris of the area is small (P<0.05), also signiifcantly less complications reduced infarction patients (P<0.05), after thrombolysis treatment, signiifcantly less rate of infarct patients well (P<0.05). Conclusion Myocardial infarction occurred within 36 hours before angina has evident protective effect, it is associated with myocardial preconditioning.