CAJ | 학술논문

目的：研究分析经皮冠状动脉介入治疗急性心肌梗死合并心源性休克患者的疗效。方法选择2011年1月~2013年6月收治的急性心肌梗死合并心源性休克的70例患者为研究对象，将其分为实验组和对照组，各35例。实验组患者使用经皮冠状动脉介入治疗，对照组患者使用药物治疗，观察比较两组平均住院时间、血管开通率、心功能恢复情况及病死率。结果治疗后在平均住院时间及病死率方面，实验组均明显少于对照组(P<0.05)，而在血管开通率及心功能恢复情况方面，实验组均高于对照组(P<0.05)。结论经皮冠状动脉介入治疗急性心肌梗死合并心源性休克，较药物治疗住院时间少，血管开通率高，心功能恢复好，病死率低，安全有效，可作为治疗首选方案。
목적：연구분석경피관상동맥개입치료급성심기경사합병심원성휴극환자적료효。방법선택2011년1월~2013년6월수치적급성심기경사합병심원성휴극적70례환자위연구대상，장기분위실험조화대조조，각35례。실험조환자사용경피관상동맥개입치료，대조조환자사용약물치료，관찰비교량조평균주원시간、혈관개통솔、심공능회복정황급병사솔。결과치료후재평균주원시간급병사솔방면，실험조균명현소우대조조(P<0.05)，이재혈관개통솔급심공능회복정황방면，실험조균고우대조조(P<0.05)。결론경피관상동맥개입치료급성심기경사합병심원성휴극，교약물치료주원시간소，혈관개통솔고，심공능회복호，병사솔저，안전유효，가작위치료수선방안。
Objective To study and analyze the curative effect on acute myocardial infarction patients combined car-diac shock by percutaneous coronary intervention. Methods All 70 cases acute myocardial infarction patients combined cardiac shock treated from January 2011 to June 2013 were chosen as the research objects. They were divided into the experiment group and the control group,35 cases in each group. The experiment group patients were treated by percu-taneous coronary intervention, the control group patients were treated by drugs. The average length of hospital stay,blood vessels reperfusion rate, cardiac function recovery and case fatality rate of two groups were compared. Results After the treatment,the average hospitalization time and mortality rate of the experimental group were significantly less than that of the control group (P<0.05), and the patency rate and heart function of the experiment group was signifi-cantly higher than that of control group(P<0.05). Conclusion The curative effect on percutaneous coronary intervention for acute myocardial infarction complicated with cardiogenic shock is sure,it is better than that treated by drugs, the mortality rate is low,safe and effective,it can be used as the treatment of choice.