下载后可任意编辑优化后适应术式对急诊经皮冠状动脉介入术急性心肌梗死患者心肌再灌注损伤的影响优化后适应术式对急诊经皮冠状动脉介入术急性心肌梗死患者心肌再灌注损伤的影响 林佑妮 杨敏 蔡裕福 [摘要]目的 探究优化后适应术式对急诊经皮冠状动脉介入术（PCI）急性心肌梗死患者心肌再灌注损伤的影响。方法 选取 20XX 年 3 月～20XX 年 9 月我院收治的进行急诊 PCI 的 60 例急性心肌梗死患者作为讨论对象，将所有患者根据隨机数字表法分为对比组（30 例）和优化组（30 例）。对比组患者实施常规的 PCI 治疗，优化组患者实施优化后适应术式的 PCI 治疗。比较两组患者院内最高和出院前的肌酸激酶同工酶（ CK-MB）和氨基末端脑钠肽前体（ NT-proBNP）水平的差值（△CK-MB、△NT-proBNP），比较两组患者术后及术后 1个月心脏彩超进行相关指标。结果 优化组患者△CK-MB、△NT-proBNP 高于对比组，差异有统计学意义（P0.05）。术后 1 个月，优化组患者 LVDS 和 EF 值高于对比组，差异有统计学意义（P [关键词]经皮冠状动脉介入术;优化后适应术式;心肌再灌注损伤;急诊 [Abstract] Objective To explore the influence of optimized operation mode on myocardial reperfusion injury in patients with acute myocardial infarction undergoing emergency percutaneous coronary intervention（PCI）. Methods From March 20XX to September 20XX ， 60 patients with acute myocardial infarction who underwent emergency PCI were selected as the study objects. All patients were divided into control group （30 cases） and optimization group （30 cases） according to random number table method. The patients in the control group were treated with conventional PCI， and the patients in the optimization group were treated with PCI which was suitable for comfort. The differences of creatine kinase isoenzyme （CK-MB） 1下载后可任意编辑and amino terminal pro brain natriuretic peptide （ NT-proBNP ） between the two groups （△CK-MB， △NT-proBNP） were compared. The indexes of color Doppler echocardiography were compared bet...
