【摘要】 目的:探讨ST段抬高急性心肌梗死(STEMI)患者溶栓前QRS波宽度与溶栓后心肌再灌注不良的关系。方法:选取实行溶栓治疗的84例STEMI患者,按标准将溶栓后病例分为再灌注良好组(A组)和再灌注不良组(B组),对所选病例进行溶栓前后QRS宽度测量。比较上述两组患者的临床及心电图特征,进行统计学检验分析。结果:B组患者溶栓前QRS较A组宽,溶栓后QRS缩窄量明显较少;Logistic回归分析显示:溶栓前QRS宽度与溶栓后心肌再灌注不良的发生独立相关。结论:STEMI患者溶栓前QRS波宽度可能有有助于预测溶栓后心肌再灌注不良的发生。更多还原

【Abstract】 Objective:To make a research over the relations between STEMI patient QRS wave width before thrombolytic therapy and unfavorable myocardial reperfusion after thrombolytic therapy.Methods:84 STEMI patient who were selected to be treated by thrombolytic therapy,and divide into favorable reperfusion group(A group)and unfavorable reperfusion group(B group)by standard.Survey the QRS wave width before and after thrombolytic therapy.Then compare clinical and EEG characteristics of A group and B group by statistics test analysis.Results:B group QRS wave width was wider than A group before thrombolytic therapy,but after thrombolytic therapy,narrow the amount of QRS decreased significantly,QRS wave width before thrombolytic therapy independently associated with unfavorable myocardial reperfusion after thrombolytic therapy.Conclusion:STEMI patient QRS wave width before thrombolytic therapy can be helpful to predict unfavorable myocardial reperfusion happen after thrombolytic therapy.更多还原