首页|序贯再通介入治疗对老年急性心肌梗死患者心电图的影响

序贯再通介入治疗对老年急性心肌梗死患者心电图的影响

Evaluation of the effect of sequential recanalization intervention therapy on electrocardiogram in elderly patients with acute myocardial infarction

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目的 分析老年急性心肌梗死行序贯再通介入治疗的价值.方法 选取2022年8月至2023年8月山东国欣颐养集团枣庄中心医院收治的86例老年急性心肌梗死患者作为研究对象,按照入院顺序将其分为常规组(先入院的43例)、序贯组(后入院的43例),常规组行常规介入治疗,序贯组行序贯再通介入治疗,比较两组患者的心电图指标、心功能、生化指标、破裂QRS波发生率.结果 介入前,两组患者心电图指标比较,差异无统计学意义(P>0.05);介入后,两组患者的心电图指标高于本组介入前,序贯组的心电图指标高于常规组,差异有统计学意义(P<0.05).介入前,两组患者的心功能指标比较,差异无统计学意义(P>0.05);介入后,两组患者的左心射血分数(LVEF)、左室收缩末期内径(LVESD)高于本组介入前,左室舒张末期内径(LVEDD)低于本组介入前,序贯组的LVEF、LVESD高于常规组,LVEDD低于常规组,差异有统计学意义(P<0.05).介入前,两组患者的生化指标比较,差异无统计学意义(P>0.05);介入后,两组患者的基质金属蛋白酶-9(MMP-9)、胱抑素C低于本组介入前,序贯组的MMP-9、胱抑素C低于常规组,差异有统计学意义(P<0.05).两组患者介入前的破裂QRS波发生率比较,差异无统计学意义(P>0.05).序贯组介入后破裂QRS波发生率低于常规组,差异有统计学意义(P<0.05).结论 序贯再通介入治疗可以调节MMP-9,恢复心肌血流量,改善心脏功能,有效减少破裂QRS事件,改善老年急性心肌梗死预后.
Objective To analyze the value of sequential recanalization interventional therapy for senile acute myocardial infarction.Methods A total of 86 elderly patients with acute myocardial infarction admitted to Shandong Guoxin Health Care Group Zaozhuang Central Hospital from August 2022 to August 2023 were selected as the study objects.According to the order of admission,they were divided into conventional group(43 cases admitted first)and sequential group(43 cases ad-mitted later).The conventional group received routine interventional treatment,and the sequential group received sequential recanalization intervention therapy.Electrocardiogram indexes,cardiac function,biochemical indexes and incidence of QRS burst were compared between the two groups.Results Before intervention,there were no significant differences in electro-cardiogram indexes between the two groups(P>0.05).After intervention,the electrocardiogram indexes of the two groups were higher than those before intervention,and the electrocardiogram indexes of the sequential group were higher than those of the conventional group,with statistical significances(P<0.05).Before intervention,there were no significant differences in cardiac function indexes between the two groups(P>0.05).After intervention,the left ventricular ejection fraction(LVEF)and left ventricular end-systolic diameter(LVESD)of the two groups were higher than those before intervention,and the left ventricular end-diastolic diameter(LVEDD)of the two groups were lower than those before intervention,and the LVEF and LVESD of the sequential group were higher than those of the conventional group,and the LVEDD of the sequen-tial group was lower than that of the conventional group,with statistical significances(P<0.05).Before intervention,there were no significant differences in biochemical indexes between the two groups(P>0.05).After intervention,the levels of matrix metalloproteinase 9(MMP-9)and cystatin C in two groups were lower than those before intervention,and the levels of MMP-9 and cystatin C in the sequential group were lower than those in the conventional group,with statistical sig-nificances(P<0.05).There was no significant difference in the incidence of QRS burst before intervention between the two groups(P>0.05).The incidence of QRS burst after intervention in sequential group was lower than that in conventional group,and the difference was statistically significant(P<0.05).Conclusion Sequential recanalization interventional therapy can regulate MMP-9,restore myocardial blood flow,improve cardiac function,effectively reduce QRS burst events,and im-prove the prognosis of senile acute myocardial infarction.

ElectrocardiogramSequential recanalization interventionSecurity incidentSenile myocardial infarction

张莹、亓云玲

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山东国欣颐养集团枣庄中心医院心功能科,山东枣庄 277000

心电图 序贯再通介入 安全事件 老年心肌梗死

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(17)