微创医学

目的探讨乡镇卫生院对急性心肌梗死患者行微创溶栓治疗的临床意义。方法将2010年4月至2012年3月收治的心肌梗死溶栓患者设为对照组,2012年4月至2014年3月收治的心肌梗死溶栓患者为观察组,了解两组患者在乡镇卫生院和本院的溶栓比例的差别,比较溶栓再通率、心律失常发生率、死亡率等。结果观察组在本院溶栓比例减少,在乡镇卫生院溶栓比例增多,并且缩短了溶栓时间,患者溶栓再通率高于对照组(P<0.05),心律失常、死亡率等低于对照组(P<0.05)。结论市级医院加强对乡镇卫生院溶栓知识培训,可对急性心肌梗死患者尽早行溶栓治疗,对提高溶栓再通率、提高疗效、降低死亡率有重要的临床意义。

Objective To investigate the clinical significance of thrombolysis therapy in treatment of acute myocardial infarction. Methods A retrospective study was carried out on the patients with acute myocardial infarction adimitted in our hospital for thrombolysis therapy from 2010 to 2014 in our hospital. Of them,those admitted from April 2010 to March 2012 were divided into the control group,and those admitted from April 2012 to March 2014 were divided into the observation group. The thrombolysis ratio,the incidence of arrhythmia and the mortality rate were compared. Results The proportion of those receiving initial thrombolysis in our hospital decreased with time,while the proportion of those receiving initial thrombolysis in town and township hospital increased with time(P < 0. 05). The rates of cardiac arrhythmia and mortality of the observation group were significant lower than those of the control group (P < 0. 05). Conclusion After trained by the municipal hospital for two years,the town and township hospital can treat patients of acute myocardial infarction with thrombolysis therapy as soon as possible,resulting in the improved recanalization rate and the reduced mortality rate.

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