摘要
目的 讨论及研究急性心肌梗死急诊介入治疗的时机选择与疗效分析。方法 选择2023年1月份至2024年1月份收治的100例患者进行研究，随机分成对照组和实验组，每组50例患者，对照组为择期治疗，实验组为急诊PCI治疗，对比两组患者的心功能指标；心肌损伤标志物水平。结果 两组患者提供不同的治疗方案后，实验组患者心功能指标优于对照组，p<0.05，分析患者的心肌损伤标志物水平，实验组优于对照组，p<0.05。结论 对急诊心肌梗死患者开展急诊PCI可以改善患者的心肌灌注，促进患者心功能恢复，改善患者的临床指标。
关键词： 急诊心肌梗死；急诊介入治疗；时机选择；疗效
Abstract
Objective To discuss and study the timing selection and efficacy analysis of emergency interventional treatment for acute myocardial infarction. Methods 100 patients admitted from January 2023 to January 2024 were selected for the study, randomly divided into the control group and the experimental group, with 50 patients in each group. The control group received elective treatment, while the experimental group received emergency PCI treatment. The cardiac function indicators and levels of myocardial injury markers of the two groups were compared. Results After providing different treatment plans for the two groups of patients, the cardiac function indicators of the experimental group were better than those of the control group, p < 0.05. Analyzing the levels of myocardial injury markers of the patients, the experimental group was better than the control group, p < 0.05. Conclusion Emergency PCI for patients with acute myocardial infarction can improve myocardial perfusion, promote the recovery of cardiac function, and improve clinical indicators of patients.
Key words： Emergency myocardial infarction; Emergency interventional treatment; Timing selection; Efficacy
参考文献 References
[1] 顾文雅,桑盛敏,钱晶,顾勣.急性心肌梗死患者急诊经皮冠状动脉介入治疗前不良情绪发生的影响因素分析[J].血管与腔内血管外科杂志,2025,11(3):423-428.
[2] 张磊，刘静。急性心肌梗死 PCI 术中肝素规范化使用及活化凝血时间管控研究 [J]. 临床心血管病杂志，2024,40 (7):521-525.
[3] 王莉,吴春苑,匡龙,宋佳贤,任骋,徐芳.急性心肌梗死患者急诊经皮冠状动脉介入治疗术后发生冠状动脉微循环障碍的早期临床预测技术研究[J].实用临床医药杂志, 2024,28(3):39-44,50.
[4] 李钰,陈寒艳,林桂芬.不同治疗时间窗对急性前壁心肌梗死患者行急诊冠脉介入治疗的效果[J].中国卫生标准管理,2024,15(2):121-125.
[5] 许涛,谭鸿斌,汪智,谢卫星,吴捷华.急性前壁心肌梗死急诊介入治疗患者住院期间心力衰竭的影响因素[J].中国循证心血管医学杂志,2024,16(1):32-34,44.
[6] 王宝劝.急诊护理快速通道对急性心肌梗死患者冠脉介入治疗时间及复发情况的影响[J].心血管病防治知识（学术版）,2024,14(2):130-133.
[7] 高俊甲,阎子欣,杨洋.不同时机行经皮冠状动脉介入治疗对老年急性ST段抬高型心肌梗死患者心血管不良事件的影响[J].当代医学,2024,30(17):138-141.
[8] 冉聪敏.急性心肌梗死急诊介入治疗与静脉溶栓后急诊介入治疗的疗效对比研究[J].科技与健康,2024,3(1):25-28.
[9] Mohammed S A ,Ahmed H ,Thiagarajan N S , et al.A-16 | Contemporary Temporal Trends and In-hospital Outcomes in Elderly Breast Cancer Survivor Women Hospitalized with Acute Myocardial Infarction Undergoing Percutaneous Coronary Intervention: Insight from the National Inpatient Sample (2016-2020)[J].Journal of the Society for Cardiovascular Angiography & Interventions, 2024,3(5S): 101494-.
[10] Bo S ,Shaobin J ,Xueping M , et al.Abstract 15135: Timing of Percutaneous Coronary Intervention and Risk of New-Onset Acute Ischemic Stroke in Non-ST Elevation Myocardial Infarction: An Insight of National Inpatient Sample 2016-2019[J]. Circulation, 2023,148(Suppl_1): A15135-A15135.