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目的:探讨多支血管病变ST段抬高型急性心肌梗死的经皮冠状动脉介入术(PCI)治疗策略。方法:选取2013年4月至2015年5月广东同江医院接受治疗的多支血管病变ST段抬高型急性心肌梗死患者中抽取98例,随机分为对照组和观察组,对照组仅对梗死相关血管进行PCI治疗,观察组行择期完全PCI治疗,将两组患者的治疗效果对比分析。结果:观察组患者的手术成功率、顽固性心绞痛及心血管事件发生率分别为91.84%、4.08%、2.04%,而对照组以上指标分别为69.39%、18.37%、20.41%,差异均具有统计学意义(P<0.05);观察组患者的左室舒张末期内径及左心室射血分数水平较对照组更具有优势,差异具有统计学意义(P<0.05)。结论:给予多支血管病变ST段抬高型急性心肌梗死患者行择期完全PCI治疗具有显著的临床效果,对降低再梗死发生率及心血管事件发生率具有显著作用,同时还能改善患者的左室心功能。
Objective: To investigate the therapeutic strategy of percutaneous coronary intervention (PCI) in patients with multivessel disease and ST-segment elevation acute myocardial infarction. Methods: From April 2013 to May 2015, Guangdong Tongjiang Hospital, multivessel disease patients with ST-segment elevation myocardial infarction selected 98 cases were randomly divided into control group and observation group, the control group only Infarct-related blood vessels were treated with PCI, and the observation group underwent elective PCI. The treatment effect of the two groups of patients was compared and analyzed. Results: The success rates of surgery, refractory angina and cardiovascular events in the observation group were 91.84%, 4.08% and 2.04% respectively, while those in the control group were 69.39%, 18.37% and 20.41% respectively, with statistical differences (P <0.05). The left ventricular end-diastolic diameter and left ventricular ejection fraction in the observation group were more superior than those in the control group, with statistical significance (P <0.05). Conclusion: The elective complete PCI in patients with multivessel coronary artery disease with ST-segment elevation acute myocardial infarction has a significant clinical effect, which has a significant effect on reducing the incidence of reinfarction and the incidence of cardiovascular events, as well as improving the left Ventricular function.