急性心肌梗死行介入治疗后再灌注心律失常的临床效果

胡彬 钟泽

[摘要] 目的 探討急性心肌梗死患者行急诊介入治疗出现再灌注心律失常的效果。 方法 选取2017年2月至2019年2月我院治疗的心肌梗死患者136例，以是否出现再灌注心律失常分为研究组和对照组。对照组62例患者均未出现心律失常情况，研究组74例患者均出现心律失常情况。比较两组6个月后的随访情况及心电图电压、开通时间窗时间、住院时间和不良反应情况，并比较两组的血脂参数情况。 结果 住院期间：研究组死亡率为2.70%，明显高于对照组的0.00%，差异有统计学意义（P<0.05），研究组再梗死率为4.05%，明显高于对照组的1.61%，差异有统计学意义（P<0.05）;随访6个月：研究组死亡率为1.35%，明显高于对照组的0.00%，差异有统计学意义（P<0.05），研究组再梗死率为2.70%，明显高于对照组的1.61%，差异有统计学意义（P<0.05）。研究组心电图电压高于对照组，但差异无统计学意义（P>0.05），研究组开通时间窗时间及住院时间明显长于对照组，差异有统计学意义（P<0.05）。治疗后，研究组LDL-C和TC水平明显低于对照组，差异有统计学意义（P<0.05）。 结论 急性心肌梗死患者进行急诊介入治疗后，还是会发生因再灌注引发的心律失常及并发症情况。

[关键词] 急性心肌梗死;再灌注;心律失常;介入治疗

[中图分类号] R541.7;R542.2          [文献标识码] A          [文章编号] 1673-9701（2021）08-0006-03

Clinical effect of reperfusion arrhythmia after interventional therapy for acute myocardial infarction

HU Bin   ZHONG Ze

Department of Vasculocardiology， the First People′s Hospital of Jiande City in Zhejiang Province， Jiande   311600， China

[Abstract] Objective To explore the effect of emergency interventional treatment on reperfusion arrhythmia in patients with acute myocardial infarction. Methods A total of 136 patients with myocardial infarction who came to our hospital from February 2017 to February 2019 were selected and divided into the study group and the control group based on whether reperfusion arrhythmia occurred. The 62 patients in the control group had arrhythmia， and 74 patients in the study group had arrhythmia. The follow-up， the electrocardiogram voltage， open-window time， hospital stay and adverse reactions between the two groups after 6 months， as well as the blood lipid parameters. Results During hospitalization： the mortality rate in the study group was 2.70%， higher than that of 0.00% in the control group， with significant difference （P<0.05）， and the reinfarction rate in the study group was 4.05%， which was higher than that of 1.61% in the control group， with significant difference（P<0.05）. Within 6 months of follow-up： the mortality rate was 1.35% in the study group， which was higher than that of 0.00% in the control group， with significant difference （P<0.05）， and the reinfarction rate in the study group was 2.70%， which was higher than that of 1.61% in the control group， with significant difference （P<0.05）. The electrocardiogram voltage in the study group was higher than that in the control group， but without significant difference（P>0.05）， and the open-window time and hospitalization time in the study group were longer than those in the control group， with significant difference（P<0.05）. The levels of LDL-C and TC in the study group were lower than those in the control group， with significant difference（P<0.05）. Conclusion Patients with acute myocardial infarction will still undergo arrhythmia caused by reperfusion and complications after emergency intervention treatment.

[Key words] Acute myocardial infarction Reperfusion; Arrhythmia; Interventional therapy

急性心肌梗死发病率较高，主要是因冠状动脉血供异常，造成心肌组织因急性缺血而致的坏死[1]。急诊介入治疗属于急性心肌梗死再灌注治疗的重要途径，能挽救濒死心肌[2-3]。有报道指出，在急诊介入治疗时，能引发因再灌注治疗导致的心肌损伤，这不利于患者的预后情况。就目前来说，对急性心肌梗死患者进行介入治疗是医学人员重点关注的项目，与此同时，还要观察是否伴随有心律失常的情况及临床特点等。为探讨急性心肌梗死行介入治疗后再灌注心律失常的临床效果，选择对本院2017年2月至2019年2月急性心肌梗死行急诊PCI术治疗的患者136例进行回顾性分析，现报道如下。

1 资料与方法

1.1一般资料

选取2017年2月至2019年2月在我院治疗的心肌梗死患者136例，以是否出现再灌注心律失常分为研究组（n=74）和对照组（n=62）。……