检验医学与临床Issue(7)：895-896,899,3.DOI:10.3969/j.issn.1672-9455.2015.07.007
急诊行为干预对急性冠状动脉综合征患者的影响
Effects of emergency behavior interventions in acute coronary syndrome patients
摘要
Abstract
Objective To investigate the effects of emergency behavior intervention in patients with acute cor‐onary syndrome (ACS) .Methods A total of 220 ACS patients were enrolled and randomly divided into observation group and control group ,with 110 patients in each group .All patients were given standardized interventional treat‐ment and western medicine drug therapy .Patients in control group were given conventional interventions ,including bed rest and passively activities ,Patients in observation group were further given emergency behavior interventions . Before and after interventions ,Gensini scores ,serum levels of pregnancy‐associated plasma protein A (PAPP‐A ) , heart function and incidence rates of complications were compared .Results After interventions ,Gensini scores and serum PAPP‐A level were both decreased in observation group and control group ,compared with those before inter‐ventions ,and Gensini scores and serum PAPP‐A level in observation group were lower than control group ( P <0 .05) .After the intervention ,cardiac output level in observation group was higher ,but mean arterial blood pressure and myocardial volume of oxygen consumption levels were lower than control group (P< 0 .05) .During the follow‐up of six months ,the incidence rates of non‐fatal myocardial infarction ,revascularization and malignant arrhythmias in observation group were lower than control group (P< 0 .05) .Conclusion Emergency behavioral intervention in pa‐tients with ACS could effectively reduce serum PAPP‐A level and Gensini scores ,improve heart function and reduce the incidence of complications .关键词
急诊行为干预/急性冠状动脉综合征/妊娠相关血浆蛋白A/Gensini评分Key words
emergency behavior intervention/acute coronary syndrome/pregnancy-associated plasma pro-tein A/Gensini scores引用本文复制引用
娄国平,田彩霞,李显东,张昭勇..急诊行为干预对急性冠状动脉综合征患者的影响[J].检验医学与临床,2015,(7):895-896,899,3.基金项目
湖北省教育厅科研项目（B2013123）。 （）
