急性ST段抬高心肌梗死不同治疗方式的临床疗效观察OACSTPCD

Objective:To explore the clinical efficacy of different treatment methods for STEMI.Method:Clinical data of 106 STEMI patients in our hospital from May 2018 to June 2020 were selected and divided into emergency PCI group,early PCI group after thrombolysis,and selective PCI group after thrombolysis according to treatment methods.The clinical efficacy of the three groups of patients was compared.Results:there was a statistically significant difference in LVDd,LVEF,NGF,and cMyBP-C among the three groups(P<0.05);At 7 days and 6 months after treatment,the LVDd emergency PCI group was lower than the other two groups,while the LVEF emergency PCI group was higher than the other two groups(P<0.05);The NGF and cMyBP-C levels in the emergency PCI group after PCI were lower than those in the other two groups(P<0.05);There was no statistically significant difference in TIMI blood flow classification among the three groups(P>0.05).The overall incidence of adverse events in the emergency PCI group was lower than the other two groups(P<0.05).Conclusion:Different timing of PCI has varying degrees of improvement in cardiac function in patients with acute ST segment elevation myocardial infarction.However,emergency PCI has a significant improvement effect on NGF and cMyBP-C in patients,and there are fewer adverse reactions.For patients with indications,PCI should be performed as early as possible in clinical practice..