CAJ | 학술논문

目的：探讨快速血气分析判断酸中毒对急性心肌梗死患者预后的影响和早期干预情况。方法分析该院心内科2013年1月-2015年1月收治的90例急性心肌梗死患者临床资料，以及回顾性分析既往40例急诊冠状动脉成形术心肌梗死患者，依据是否进行快速血气分析判定酸中毒进行临床分组，常规治疗组60例和实验组70例。观察两组急性心肌梗死患者pH、PaO2、PaCO2、HCO3-情况；观察两组急性心肌梗死患者抢救成功率、死亡率、心梗复发率情况。结果两组急性心肌梗死患者pH值差异无统计学意义，t=2.45，P>0.05，实验组急性心肌梗死患者PaCO2、PaO2、SaO2均优于常规治疗组，t=10.76,5.15,14.39，实验组急性心肌梗死患者抢救成功率、死亡率、心梗复发率均优于常规治疗组，χ2=8.36,3.89,13.98，P<0.05，差异有统计学意义。结论对于急性心肌梗死患者入院后早期判断有无酸中毒等起着至关重要的作用。
목적：탐토쾌속혈기분석판단산중독대급성심기경사환자예후적영향화조기간예정황。방법분석해원심내과2013년1월-2015년1월수치적90례급성심기경사환자림상자료，이급회고성분석기왕40례급진관상동맥성형술심기경사환자，의거시부진행쾌속혈기분석판정산중독진행림상분조，상규치료조60례화실험조70례。관찰량조급성심기경사환자pH、PaO2、PaCO2、HCO3-정황；관찰량조급성심기경사환자창구성공솔、사망솔、심경복발솔정황。결과량조급성심기경사환자pH치차이무통계학의의，t=2.45，P>0.05，실험조급성심기경사환자PaCO2、PaO2、SaO2균우우상규치료조，t=10.76,5.15,14.39，실험조급성심기경사환자창구성공솔、사망솔、심경복발솔균우우상규치료조，χ2=8.36,3.89,13.98，P<0.05，차이유통계학의의。결론대우급성심기경사환자입원후조기판단유무산중독등기착지관중요적작용。
Objective To discuss the influence of rapid blood gas analysis for acidosis on prognostic of patients with acute myocar-dial infarction and its early intervention. Methods The clinical data of 90 patients with acute myocardial infarction treated in the Department of Cardiology of our hospital between January 2013 and January 2015 were analyzed, and other 40 revions patients with myocardial infarction who had received coronary angioplasty operation were retrospectively analyzed. All of the 130 patients were divided into conventional treatment group (n=60) and experimental group (n=70) according to undergoing rapid blood gas analysis for acidosis or not. PaCO2, PaO2, SaO2, and the rescue success rate, death rate, myocardial infarction recurrence of two groups were detected. Results The PH of two groups acute myocardial infarction patients were no difference, t=2.45, P>0.05. The PaCO2, PaO2, SaO2 of experimental group acute myocardial infarction patients were better than conventional treatment group, t=10.76,5.15,14.39, the rescue success rate, death rate, myocardial infarction recurrence of experimental group acute myocardial in-farction patients were better than conventional treatment group, χ2=8.36,3.89,13.98,P<0.05, the difference were statistical signifi-cance. Conclusion For patients with acute myocardial infarction, early judgement of acidosis plays an vital role.