CAJ | 학술논문

目的：评价急诊经皮冠状动脉成形术对心功能的影响。方法选取本院心内科于2013年1月～2014年8月收治的120名急性心肌梗死患者作为临床研究对象，给予急诊经皮冠状动脉成形术进行治疗及择期经皮冠状动脉成形术进行治疗。对比两组患者的药物使用情况以及治疗后心输出量、左心室射血分数以及左心室舒张末内径。结果两组患者的GPⅡb/Ⅲa受体拮抗剂、血管紧张素转换酶抑制剂、β受体阻滞剂、硝酸酯类、利尿剂以及低分子肝素等药物使用情况；两组患者的治疗后心输出量、左心室射血分数以及左心室舒张末内径均要明显优于治疗前（P＜0.01），观察组治疗后的心输出量、左心室射血分数和左心室舒张末内径要明显优于对照组。结论急性心肌梗死急诊经皮冠状动脉成形术是一种安全可靠的治疗方法，可以有效地改善患者的治疗后心功能，值得临床推广。
목적：평개급진경피관상동맥성형술대심공능적영향。방법선취본원심내과우2013년1월～2014년8월수치적120명급성심기경사환자작위림상연구대상，급여급진경피관상동맥성형술진행치료급택기경피관상동맥성형술진행치료。대비량조환자적약물사용정황이급치료후심수출량、좌심실사혈분수이급좌심실서장말내경。결과량조환자적GPⅡb/Ⅲa수체길항제、혈관긴장소전환매억제제、β수체조체제、초산지류、이뇨제이급저분자간소등약물사용정황；량조환자적치료후심수출량、좌심실사혈분수이급좌심실서장말내경균요명현우우치료전（P＜0.01），관찰조치료후적심수출량、좌심실사혈분수화좌심실서장말내경요명현우우대조조。결론급성심기경사급진경피관상동맥성형술시일충안전가고적치료방법，가이유효지개선환자적치료후심공능，치득림상추엄。
Objective To evaluate the emergency percutaneous coronary angioplasty effects on cardiac function. Methods to choose our heart medicine in January 2013 to August 2014 were 120 patients with acute myocardial infarction (mi) as a clinical research object, give emergency percutaneous coronary angioplasty treatment and undergoing elective percutaneous coronary angioplasty treatment. Results two groups of patients with GPⅡb/Ⅲ a receptor blockers, angiotensin converting enzyme inhibitors, beta-blockers, nitrate, diuretics, and drug use situation such as low molecular heparin;The treatment of two groups of patients with middle of the back output, left ventricular ejection fraction and left ventricular end-diastolic diameter were significantly better than before treatment (P<0.01), the observation group after treatment of cardiac output, left ventricular ejection fraction and left ventricular end-diastolic diameter significantly better than the control group. Conclusion acute myocardial infarction (mi) of emergency percutaneous coronary angioplasty is a safe and reliable treatment, can effectively improve the treatment of patients with middle of the back function, worth clinical promotion.