疑难病杂志2011,Vol.10Issue(8):572-574,3.DOI:10.3969/j.issn.1671-6450.2011.08.005
ST段抬高型心肌梗死患者择期PCI术后左心功能及血尿酸水平的研究
Investigation of left heart function and level of serum uric acid in patients with STEMI after PCI treatment
贺红 1王利青 1王彩霞 1刘健荣 1杨铃 1李雪松 1刘志跃1
作者信息
- 1. 014030,包头,内蒙古医学院第四附属医院心内科
- 折叠
摘要
Abstract
Objective To evaluate the clinical value of PCI treatment in patients with STEMI by evaluating left ventricular ejection fraction and level of serum uric acid.Methods 93 patients with ST segment elevation myocardial infarction underwent selective PCI, and 80 patients with drug treatment after the success of intravenous thrombolytic treatment over the same period during hospitalization were enrolled as control group.The adverse cardiac events, echocardiography, and blood uric acid levels were observed and followed up 3 year.Results For patients with STEMI, from 7 to 30 days after intravenous thrombolytic treatment, selective PCI surgery had highly successful rate, the peri-operative death in the patients was not found.Compared with the drug treatment group, the incidence of reoccur of nyocardial infarction was lower in PCI treatment group during hospitalization and follow up( P < 0.05 ), cardiovascular mortality in patients with different treatment methods had significant differences during hospital( P < 0.05 ).In the three years follow up there was no significant difference in mortality, left ventricular function and serum uric acid level of the two groups( P > 0.05 ).Conclusion Routine selective PCI in patients with STEMI can prevent their reoccur of nyocardial infarction and mortality during hospitalization.But the mortality, left ventricular function and serum uric acid levels between the two groups were not significant different during 3 years follow up.关键词
ST段抬高型心肌梗死/静脉溶栓/PCI治疗/左心功能/血尿酸Key words
ST segment elevation nyocardial infarction/ Thrombolytic therapy/ PCI/ Left ventricular function/ Serum uric acid引用本文复制引用
贺红,王利青,王彩霞,刘健荣,杨铃,李雪松,刘志跃..ST段抬高型心肌梗死患者择期PCI术后左心功能及血尿酸水平的研究[J].疑难病杂志,2011,10(8):572-574,3.