摘要
目的分析研讨急性心肌梗死并发阿斯综合征老年患者的急诊复苏术抢救效果。方法本次讨论中所研讨200例患者均随机从我院2014年11月至2016年10月期间收治的急性心肌梗死并发阿斯综合征老年患者中筛选而出,将其随机分两组,100例对照组和100例研究组,两组患者均接受心肺复苏术,对照组接受PTCA,研究组接受静脉溶栓术,将两组患者抢救效果和发病时、发病24小时实验室检查结果纳入对比研讨中。结果两组患者抢救后死亡率、出现阿斯综合征例数对比无明显差异(P>0.05);24小时后两组病例体内CK-MB活性有所升高,与发病时期对比,组间数据有统计学意义(P<0.05);但研究组患者CK-MB活性值比对照组高,组间数据有统计学意义(P<0.05)。结论对于急性心肌梗死并发阿斯综合征老年患者,必须及时抢救,若抢救不及时均会造成较高的死亡率,为此对于此类患者及时进行抢救,并及时进行PTCA或静脉溶栓术进行治疗,有着较好效果,病人生还率较高,病人及家属满意度较高,临床应用及推广价值较大。
Objective To study acute myocardial infarction with Adams Stokes syndrome in elderly patients with emergency resuscitation effect. Methods The 200 patients studied in this study were randomly selected from our hospital from November 2014 to October 2016 during the admission of acute myocardial infarction complicated with Aspen syndrome in elderly patients screened out,they were randomly divided into two groups,100 cases in the control group and 100 cases in study group, two patients received cardiopulmonary resuscitation, control group received PTCA, study group received intravenous thrombolysis, two groups of patients at the onset and rescue effect, the incidence of 24 hours of laboratory results into comparative study. Results Two groups of patients after the rescue, no significant difference between the mortality of Adams Stokes syndrome cases comparison(P>0.05); 24 hours after the activity of CK-MB in vivo in two groups was increased, compared with the onset period, the data between the two groups was statistically significant(P <0.05); but the patients in the study group than the control group, the activity value of CK-MB high data between the two groups was statistically significant(P<0.05). Conclusion The syndrome of elderly patients with acute myocardial infarction complicated with an integrated, the patient survival rate is higher and higher satisfaction of patients and their families, the clinical application and promotion of great value.
出处
《智慧健康》
2017年第5期101-102,共2页
Smart Healthcare
关键词
老年患者
阿斯综合征
急性心肌梗死
急诊复苏术
抢救效果
Elderly patients
ADAMS Stokes syndrome
Acute myocardial infarction
Emergency resuscitation
Treatment effect