替格瑞洛用于老年急性ST段抬高型心肌梗死急診PCI治療患者的臨床研究

1、    替格瑞洛用于老年急性st段抬高型心肌梗死急診pci治療患者的臨床研究    孫紅梅 劉堂玉摘要 目的 為了提高老年急性st段抬高型心肌梗死患者急診pci（經(jīng)皮冠狀動脈介入術(shù)）治療效果，探討加用替格瑞洛片治療的價值和意義。方法 在該院2018年10月2019年10月接診的老年急性st段抬高型心肌梗死患者中依就診順序方便抽取80例作為研究對象，參考隨機、雙盲、對照原則將其平均分為觀察組和對照組，各40例，且兩組在行急診pci治療前分別予以替格瑞洛片和氯吡格雷治療，觀察兩組治療前后左室射血分?jǐn)?shù)、左室收縮末期內(nèi)徑以及心肌酶水平變化。結(jié)果 研究數(shù)據(jù)顯示，治

2、療前觀察組和對照組患者左室射血分?jǐn)?shù)、左室收縮末期內(nèi)徑比較差異無統(tǒng)計學(xué)意義（p>0.05），治療后與對照組相比，觀察組患者的左室射血分?jǐn)?shù)明顯增加而左室收縮末期內(nèi)徑則明顯縮小，兩組比較差異有統(tǒng)計學(xué)意義（p關(guān)鍵詞 老年;急性st段抬高型心肌梗死;急診pci;替格瑞洛片;心功能;并發(fā)癥 r542.2+2          a          1674-0742（2020）08（c）-0108-03abstract objective in order to improve the treatme

3、nt effect of emergency pci （percutaneous coronary intervention） in elderly patients with acute st-segment elevation myocardial infarction， and to explore the value and significance of treatment with ticagrelor tablets. methods a total of 80 elderly patients with acute st-elevation myocardial infarct

4、ion received in the hospital from october 2018 to october 2019 were convenient selected according to the order of treatment as the research objects， and they were divided into average according to the randomized， double-blind， and the observation group and control group each had 40 cases， and the tw

5、o groups were treated with ticagrelor tablets and clopidogrel respectively before emergency pci treatment. the left ventricular ejection fraction， left ventricular systolic diameters， changes in myocardial enzyme levels. results the research data showed that the difference in left ventricular ejecti

6、on fraction， left ventricular end-systolic diameter of the observation group and the control group before treatment was not statistically significant（p>0.05）. compared with the control group after treatment， the observation group of the left ventricular ejection fraction increased significantly while the left ventricular end-systolic diameters w