CAJ | 학술논문

目的：探讨心肌梗死前心绞痛发作情况对急性心肌梗死患者预后的影响。方法将100例急性心肌梗死患者分为有心绞痛组与无心绞痛组，对比分析两组患者的心肌肌钙蛋白（ cTnI）和肌酸激酶同工酶（ CK－MB）峰值、溶栓治疗结果和并发症情况等。结果有心绞痛组的CK－MB峰值和cTnI峰值、再通时间、心力衰竭、心源性休克以及死亡人数等均显著低于无心绞痛组（P＜0.05）；有心绞痛组的再通人数和再通率明显高于无心绞痛组（P＜0.05）。结论急性心肌梗死患者在心肌梗死前出现心绞痛症状可能是对缺血的适应从而对心肌有保护作用，能够较好的改善患者预后。
목적：탐토심기경사전심교통발작정황대급성심기경사환자예후적영향。방법장100례급성심기경사환자분위유심교통조여무심교통조，대비분석량조환자적심기기개단백（ cTnI）화기산격매동공매（ CK－MB）봉치、용전치료결과화병발증정황등。결과유심교통조적CK－MB봉치화cTnI봉치、재통시간、심력쇠갈、심원성휴극이급사망인수등균현저저우무심교통조（P＜0.05）；유심교통조적재통인수화재통솔명현고우무심교통조（P＜0.05）。결론급성심기경사환자재심기경사전출현심교통증상가능시대결혈적괄응종이대심기유보호작용，능구교호적개선환자예후。
Objective To discuss the effect of previous myocardial infarction angina pectoris in patients with acute myocardial infarc -tionprognosis.Methods 100patientswithacutemyocardialinfarctionprognosisweredividedintoanginagroupandwithoutanginagroup.Troponin (cTnI) and creatine kinase (CK-MB) peak, thrombolytic treatment outcome and complications and so on were compared be-tween the two groups.Results The peak CK-MB and cTnI peak, recanalization time, heart failure, cardiogenic shock and the death toll were significantly lower than those without angina group ( P<0.05 );recanalization number and rate of the angina group were significantly higher than those without angina group ( P<0.05 ).Conclusion Acute myocardial infarction patients with angina before myocardial in-farction may be adapted for ischemic myocardium and thus has a protective effect.It can better improve the prognosis.