心肌梗死介入术后药物治疗过程中应用Triangle分层管理模型的干预效果观察
Observation on the Intervention Effect of Triangle Hierarchical Management Model in the Process of Drug Treatment After Myocardial Infarction Intervention
谢云峰 1王楠 1徐坤超 1吕晶晶 1马惠贤1
作者信息
- 1. 平顶山市第一人民医院介入科,河南 平顶山 467000
- 折叠
摘要
目的:探讨Triangle分层管理模型在心肌梗死介入术后双联抗血小板药物指导中的应用效果.方法:选取 2020年 8 月—2023 年 7 月本院收治的心肌梗死患者 110 例,根据入院时间将患者分为分层管理组和常规组,每组 55 例.常规组采用常规基础干预,分层管理组采用Triangle分层管理模型模式进行干预.比较两组左室射血分数(LVEF)、左室舒张末内径(LVEDD)、凝血酶原时间(PT)、纤维蛋白原(FIB)水平、血小板聚集率、并发症发生情况.结果:干预后,分层管理组LVEDD水平低于常规组,LVEF水平高于常规组(P<0.05);分层管理组FIB水平、血小板聚集率低于常规组,PT水平高于常规组(P<0.05);分层管理组并发症发生率低于常规组(P<0.05).结论:Triangle分层管理模式能够提高心肌梗死介入术后患者心功能水平,改善患者凝血功能,减少患者术后并发症发生率.
Abstract
Objective:To explore the application effect of Triangle hierarchical management model in the guidance of dual antiplatelet drugs after interventional therapy for myocardial infarction.Methods:A total of 110 patients with myocardial infarction admitted to our hospital from August 2020 to July 2023 were selected.According to the time of admission,the patients were divided into stratified management group and routine group,with 55 patients in each group.The routine group was treated with routine basic intervention,and the hierarchical management group was treated with Triangle hierarchical management model.The levels of left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),prothrombin time(PT),fibrinogen(FIB),platelet aggregation rate and complications were compared between the two groups.Results:After intervention,the LVEDD level of the stratified management group was lower than that of the conventional group,and the LVEF level was higher than that of the conventional group(P<0.05).FIB level and platelet aggregation rate in the stratified management group were lower than those in the conventional group,and PT level was higher than that in the conventional group(P<0.05).The incidence of complications in the stratified management group was lower than that in the conventional group(P<0.05).Conclusion:Triangle hierarchical management model can improve the cardiac function level of patients with myocardial infarction after interventional therapy,improve their coagulation function,and reduce the incidence of postoperative complications.
关键词
Triangle分层管理/心肌梗死/抗血小板药物Key words
Triangle hierarchical management/Myocardial infarction/Antiplatelet drugs引用本文复制引用
基金项目
河南省医学科技攻关计划联合共建项目(2018021023)
出版年
2024
NETL
NSTL
万方数据