中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2014年
6期
96-98,99
,共4页
心肌梗死%ST段抬高%尿激酶%溶栓治疗
心肌梗死%ST段抬高%尿激酶%溶栓治療
심기경사%ST단태고%뇨격매%용전치료
Myocardial infarction%ST segment elevation%Urokinase%Thrombolytic therapy
目的：研究尿激酶溶栓治疗ST段抬高型心肌梗死的时间窗与疗效的相关性。方法：将医院急诊收治的60例ST段抬高心肌梗死患者根据接受溶栓治疗的时间分为观察组(3 h内接受溶栓)和对照组(3～6 h接受溶栓)，检测心肌细胞坏死指标及心室舒缩功能指标，并分析与溶栓时间的相关性。结果：观察组患者的cTnT、LDH及CK-MB水平均低于对照组，与溶栓时间呈正相关，E峰、E/A值、LVEF及LVEDD均高于对照组，且与溶栓时间呈负相关。结论：心肌梗死发生后溶栓治疗时间越短，治疗后心肌细胞坏死越少、心室功能恢复越好，临床价值也越明显。
目的：研究尿激酶溶栓治療ST段抬高型心肌梗死的時間窗與療效的相關性。方法：將醫院急診收治的60例ST段抬高心肌梗死患者根據接受溶栓治療的時間分為觀察組(3 h內接受溶栓)和對照組(3～6 h接受溶栓)，檢測心肌細胞壞死指標及心室舒縮功能指標，併分析與溶栓時間的相關性。結果：觀察組患者的cTnT、LDH及CK-MB水平均低于對照組，與溶栓時間呈正相關，E峰、E/A值、LVEF及LVEDD均高于對照組，且與溶栓時間呈負相關。結論：心肌梗死髮生後溶栓治療時間越短，治療後心肌細胞壞死越少、心室功能恢複越好，臨床價值也越明顯。
목적：연구뇨격매용전치료ST단태고형심기경사적시간창여료효적상관성。방법：장의원급진수치적60례ST단태고심기경사환자근거접수용전치료적시간분위관찰조(3 h내접수용전)화대조조(3～6 h접수용전)，검측심기세포배사지표급심실서축공능지표，병분석여용전시간적상관성。결과：관찰조환자적cTnT、LDH급CK-MB수평균저우대조조，여용전시간정정상관，E봉、E/A치、LVEF급LVEDD균고우대조조，차여용전시간정부상관。결론：심기경사발생후용전치료시간월단，치료후심기세포배사월소、심실공능회복월호，림상개치야월명현。
Objective:To study the correlation between time window and effects of urokinase thrombolytic therapy in treating STEMI. Methods: STEMI patients in our hospital were enrolled and randomly divided observation group received thrombolytic therapy within 3 h after infarction and control group received thrombolytic therapy 3-6 h after infarction. Then myocardial cells necrosis index and ventricular diastolic function indexes were detected. Results: (1)cTnT, LDH,CK-MB levels of observation group were lower than those of control group and positively correlated with thrombolysis time; (2)E peak, E/A value, LVEF, LVEDD of observation group were higher than those of control group and negatively correlated with of thrombolysis time. Conclusion:short thrombolysis time has positive clinical value in treating STEMI for the myocardial necrosis is less and ventricular function recovery is better.
