CAJ | 학술논문

目的：观察急诊PCI与择期PCI治疗急性心肌梗死的临床疗效，探讨急诊PCI治疗急性心肌梗死的临床价值及优越性。方法：对急诊PCI与择期PCI治疗的心肌梗死患者的临床资料进行回顾性分析，观察两组临床疗效、心脏事件发生率及心肌改善情况。结果：急诊PCI组的治愈率为63.41%，明显高于择期PCI组的48.15%（P＜0.05）；急诊PCI组患者住院期间心脏事件总发生率为4.88%，明显低于择期P C I组的22.22%（P＜0.05）；急诊P C I组住院时间明显低于择期PCI组（P＜0.05）；急诊PCI组术后左心室射血分数明显高于择期PCI组（P＜0.05）；两组患者随访期间心脏事件发生率及死亡率比较均无显著差异（P＞0.05）。结论：急诊PCI治疗急性心肌梗死的疗效优于择期PCI治疗，患者一旦确诊为心肌梗死，应尽早行PCI治疗，以最大限度地挽救心肌缺血，降低心脏事件及死亡率。
목적：관찰급진PCI여택기PCI치료급성심기경사적림상료효，탐토급진PCI치료급성심기경사적림상개치급우월성。방법：대급진PCI여택기PCI치료적심기경사환자적림상자료진행회고성분석，관찰량조림상료효、심장사건발생솔급심기개선정황。결과：급진PCI조적치유솔위63.41%，명현고우택기PCI조적48.15%（P＜0.05）；급진PCI조환자주원기간심장사건총발생솔위4.88%，명현저우택기P C I조적22.22%（P＜0.05）；급진P C I조주원시간명현저우택기PCI조（P＜0.05）；급진PCI조술후좌심실사혈분수명현고우택기PCI조（P＜0.05）；량조환자수방기간심장사건발생솔급사망솔비교균무현저차이（P＞0.05）。결론：급진PCI치료급성심기경사적료효우우택기PCI치료，환자일단학진위심기경사，응진조행PCI치료，이최대한도지만구심기결혈，강저심장사건급사망솔。
Objectives:Observe the potency of emergency PCI and elective PCI in treating acute myocardial infarction. Discuss the clinical values and advantages of emergency PCI in treating the disease. Methods:The clinical information on the acute myocardial infarction sufferers of emergency PCI and elective PCI was reviewed. The clinical potency, the incidence of the heart discomforts and the improvements in cardiac muscles among both groups were observed. Results:The total efifcacy was 63.41% for the emergency PCI group, visibly higher than 48.15% for the elective PCI group (P<0.05). The total incidence of heart discomforts was 4.88% for the emergency PCI group during the hospitalization, visibly lower than 22.22% for the elective PCI group (P<0.05). The period of hospitalization for the emergency PCI group was enormously shorter than the elective PCI group (P<0.05). The left ventricular ejection scores for the emergency PCI group were considerably higher after the surgery than the elective PCI group (P<0.05). No obvious difference was observed between both groups during the regular visits in terms of the incidence of heart discomforts and mortality rate (P>0.05). Conclusions:The emergency PCI is more powerful to cure the acute myocardial infarction than the elective PCI. The sufferers that have been diagnosed with myocardial infarction should receive the PCI treatment promptly in order to remedy the myocardial ischemia, and reduce the incidence of heart discomforts and mortality rate as much as possible.