【摘要】 目的探讨冠心病(CHD)并急性心肌梗死(AMI)患者溶栓治疗后心功能与心电图指标的变化。方法回顾性分析2016年1月-2017年12月本院65例CHD并AMI患者的临床资料,根据溶栓治疗情况将其分为再通组45例与未通组20例。评价对比两组溶栓治疗后心功能与心电图指标的变化,以及心律失常的发生率。结果再通组QTd差值高于未通组(P <0.01),TPF低于未通组(P <0.01),两组LVEDd、LVEF比较差异无统计学意义(P> 0.05)。再通组心律失常的发生率低于未通组(P <0.01)。结论积极有效的溶栓能够改善CHD并AMI患者心电图指标,利于心室局部与心脏整体功能的恢复,降低心律失常的发生率,适于临床推广。更多还原

【Abstract】 Objective To investigate the changes of cardiac function and electrocardiogram in patients with coronary heart disease(CHD)and acute myocardial infarction(AMI)after thrombolytic therapy. Methods The clinical data of 65 patients with CHD and AMI in our hospital from January 2016 to December 2017 were retrospectively analyzed, and according to the situation of thrombolytic treatment, they were divided into recanalization group(45 cases)and non-recanalization group(20 cases). To evaluate and compare the changes of cardiac function, electrocardiogram and the incidence of arrhythmia after thrombolytic therapy between the two groups. Results QTd difference of the re-pass group was higher than that of the non-pass group(P < 0.01), and TPF was lower than that of the non-pass group(P < 0.01). LVEDd and LVEF of the two groups showed no significant difference(P > 0.05). The incidence of arrhythmia in recanalization group was lower than that of recanalization group(P < 0.01). Conclusion Positive and effective thrombolysis can improve the ECG index of CHD and AMI patients, facilitate the recovery of ventricular local and overall cardiac function, reduce the incidence of arrhythmia, and is suitable for clinical promotion.更多还原