CAJ | 학술논문

目的：探讨并分析梗死前心绞痛患者的急诊处理要点与方法。方法选取我院自2012年3月～2013年6月期间，急诊科所收治的梗死前心绞痛患者共计60例作为研究对象，按照数字随机表分组方法形成两组：对照组，观察组，每组患者30例。对照组30例患者给予常规治疗，观察组30例患者在常规治疗基础之上，给予阿司匹林合并低分子右旋糖酐注射液进行治疗干预。对两组患者的急诊处理效果进行综合对比与分析。结果观察组患者急性心肌梗死、心律失常、心力衰竭发病率均明显低于对照组，数据对比差异显著，p＜0.05，具有统计学意义。结论梗死前心绞痛患者急诊治疗中，通过扩冠、解痉、抗凝综合治疗方案的实施，对急性心肌梗死发病率有良好的控制价值，缓解心律失常、心力衰竭并发症效果突出，值得推广应用。
목적：탐토병분석경사전심교통환자적급진처리요점여방법。방법선취아원자2012년3월～2013년6월기간，급진과소수치적경사전심교통환자공계60례작위연구대상，안조수자수궤표분조방법형성량조：대조조，관찰조，매조환자30례。대조조30례환자급여상규치료，관찰조30례환자재상규치료기출지상，급여아사필림합병저분자우선당항주사액진행치료간예。대량조환자적급진처리효과진행종합대비여분석。결과관찰조환자급성심기경사、심률실상、심력쇠갈발병솔균명현저우대조조，수거대비차이현저，p＜0.05，구유통계학의의。결론경사전심교통환자급진치료중，통과확관、해경、항응종합치료방안적실시，대급성심기경사발병솔유량호적공제개치，완해심률실상、심력쇠갈병발증효과돌출，치득추엄응용。
Objective To study and analyse the key point and method of pre -infarction angina emergency treatment .Meth-ods Patients with pre-infarction angina from the emergency department in our hospital with a total of 60 cases during March 2012 and June 2013were selected and randomly divided into two groups:the control group and the observation group with 30 patients each. Patients of the control group were given conventional treatment ;patients of the observation group were given aspirin combined with low molecular weight dextran injection treatment interventions based on routine treatment .A comprehensive comparison and analysis of the effect of emergency treatment was given on the two groups of patients .Results The incidence of acute myocardial infarction , arrhyth-mia and heart failure of the observation group was significantly lower than that of the control group statistically ( p<0.05 ) .Conclu-sion In terms of emergency treatment of patients with pre -infarction angina , the implementation of CHD , spasmolysis , and antico-agulant treatment has good control value in the incidence of acute myocardial infarction and obvious effect on alleviating heart failure and arrhythmia complication , therefore is worth of being popularized in clinical work .