CAJ | 학술논문

目的：探讨急性心肌梗死PCI术后微泵注射替罗非班的的临床疗效及护理的临床效果。方法收集2013年1月～2014年1月来我院就诊并采用PCI治疗的118例急性心肌梗死患者，将患者按照随机数字表法分为观察组59例，微量泵持续泵入替罗非班，对照组59例，微量泵持续泵入肝素，并实施临床护理措施比较两组给药前后心电图改善情况及不良事件发生情况。结果观察组及对照组用药48h后ST段值及缺血导联数均低于用药前，差异有统计学意义（P＜0.05），观察组用药后48h改善程度明显大于对照组，差异有统计学意义（P＜0.05）。观察组不良事件总发生率为8.47%，对照组为13.56%，两组不良事件总发生率差异无统计学意义（P＞0.05）。结论急性心肌梗死患者PCI术后微泵注射替罗非班明显改善患者心电图情况，对相关血管的心肌血液供应有明显的改善，对不良事件总发生率影响较小。
목적：탐토급성심기경사PCI술후미빙주사체라비반적적림상료효급호리적림상효과。방법수집2013년1월～2014년1월래아원취진병채용PCI치료적118례급성심기경사환자，장환자안조수궤수자표법분위관찰조59례，미량빙지속빙입체라비반，대조조59례，미량빙지속빙입간소，병실시림상호리조시비교량조급약전후심전도개선정황급불량사건발생정황。결과관찰조급대조조용약48h후ST단치급결혈도련수균저우용약전，차이유통계학의의（P＜0.05），관찰조용약후48h개선정도명현대우대조조，차이유통계학의의（P＜0.05）。관찰조불량사건총발생솔위8.47%，대조조위13.56%，량조불량사건총발생솔차이무통계학의의（P＞0.05）。결론급성심기경사환자PCI술후미빙주사체라비반명현개선환자심전도정황，대상관혈관적심기혈액공응유명현적개선，대불량사건총발생솔영향교소。
Objective To investigate the clinical efficacy and care of acute myocardial infarction after PCI by micropump tirofiban injection. Methods 118 cases of acute myocardial infarction with PCI were selected from January 2013 to January 2014 in our hospital and randomly divided into 59 cases of observation group with micropump tirofiban continuous injection and 59 patients of control group with micropump heparin continuous injection,and implemented clinical care measures,and compared in ECG improvement and occurrence of adverse events before and after administration. Results The ST value and ischemia lead number after 48h of administration in observation group and control group were lower than before administration,the difference was statistically significant(P<0.05),ECG improvement degree after 48h of administration in observation group was significantly greater than that in the control group,the difference was statistically significance(P<0.05).The overall incidence of adverse events in observation group was 8.47%,that in the control group was 13.56%,the overall incidence of adverse events in both groups showed no significant difference(P > 0.05). Conclusion The patients with acute myocardial infarction after PCI by micropump tirofiban injection significantly improve patient's electrocardiogram,the myocardial blood supply of the relevant vessels,has smaller effect on the overall incidence of adverse events.