急诊PCI术对AMI患者早期心脏LVEF,LVED,NT-proBNP的影响

发布时间：2017-12-28 02:34

本文关键词：急诊PCI术对AMI患者早期心脏LVEF,LVED,NT-proBNP的影响　出处：《青岛大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:探讨急诊PCI治疗术对AMI患者早期心脏LVEF,LVED,NT-pro BNP的影响。方法:将40例明确诊断的AMI患者,根据临床症状,心电图,及心肌酶谱将患者分为急诊PCI治疗组和择期PCI治疗组,应用彩色多普勒及血液学指标NT-pro BNP检查对两组患者分别进行入院时查LVEF,LVED,NT-pro BNP,手术后1周及1月复查上述指标,了解两组患者早期心脏LVEF,LVD,NT-pro BNP的差别。结果:急诊PCI组与择期PCI组在入院第一天LVED(mm)相比无显著性差异(48.09±1.88 vs 48.52±2.16 t=0.667,P0.05),术后1周LVED(mm)相比有显著性差异(52.84±1.53 vs 50.03±1.32 t=6.189,P0.05),术后1月LVED(mm)相比有显著性差异(52.17±2.34 vs 49.26±2.46 t=7.691,P0.05)。两组在入院第一天NT-pro BNP相比无显著性差异(1170.9±593.5 vs 1275.1±621.5t=0.5365,P0.05),术后1周NT-pro BNP相比有显著性差异(1130.1±583.5 vs1413.8±919.6 t=1.193,P0.05),术后1月NT-pro BNP相比有显著性差异(1348.6±215.4 vs 747.9±242.8 t=6.384,P0.05)。两组在入院第一天LVEF相比无显著性差异(49.21±5.03 vs 48.95±2.98 t=0.1856,P0.05),术后1周LVEF相比有显著性差异(47.56±5.32 vs 42.49±2.31 t=3.581,P0.05),术后1月LVEF相比有显著性差异(53.27±4.25 vs 45.31±3.26 t=6.341,P0.05)。结论:急诊PCI治疗术对AMI患者早期心脏LVED,LVEF,NT-pro BNP的改善具有明显的作用。
[Abstract]:Objective: To investigate the effect of emergency PCI therapy on the early cardiac LVEF, LVED and NT-pro BNP in patients with AMI. Methods: 40 cases of AMI were diagnosed according to clinical symptoms, electrocardiogram, myocardial enzymes, and the patients were divided into emergency PCI treatment group and elective PCI treatment group, the application of color Doppler and blood NT-pro BNP examination of two groups of patients were performed on admission check LVEF, LVED, NT-pro and BNP, 1 weeks the January review of the index after surgery, understanding early cardiac LVEF, two groups of patients with LVD, NT-pro, BNP difference. Results: the emergency PCI group and selective PCI group on the first day of admission LVED (mm) showed no significant difference (48.09 + 1.88 vs 48.52 + 2.16 t=0.667, P0.05), after 1 weeks of LVED (mm) had significant difference compared to (52.84 + 1.53 vs 50.03 + 1.32 t=6.189, P0.05), after January LVED (mm) had significant difference compared to (52.17 + 2.34 vs 49.26 + 2.46 t=7.691, P0.05). The two groups showed no significant difference in the first day of admission (NT-pro BNP 1170.9 + 593.5 vs 1275.1 + 621.5t=0.5365, P0.05), after 1 weeks, NT-pro BNP were significantly different (1130.1 + 583.5 vs1413.8 + 919.6 t=1.193, P0.05), after January NT-pro BNP showed a significant difference (1348.6 + 215.4 vs 747.9 + 242.8 t=6.384, P0.05). The two groups showed no significant difference in the first day of admission, LVEF (49.21 + 5.03 vs 48.95 + 2.98 t=0.1856, P0.05), LVEF after 1 weeks of operation were significantly different (47.56 + 5.32 vs 42.49 + 2.31 t=3.581, P0.05), postoperative January LVEF were significantly different (53.27 + 45.31 + 4.25 vs 3.26 t=6.341, P0.05). Conclusion: emergency PCI therapy has an obvious effect on the improvement of early cardiac LVED, LVEF, NT-pro BNP in patients with AMI.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R541

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