简介:摘要 目的:探讨冠脉介入治疗冠心病急性心肌梗死的临床疗效及对心室重塑的影响。方法: 2017年 1月 -2019年 4月收治冠心病急性心肌梗死患者 94例,按治疗方法不同分为两组各 47例。对照组给予常规治疗,研究组给予冠脉介入治疗,比较两组心功能指标 [左室射血分数( LVEF)、左心室收缩末期容积( LESV)、左心室舒张末期容积( LEDV) ]与 B型脑钠肽( BNP)的变化情况。结果:治疗 7d后,研究组 LVEF明显高于治疗前与对照组,而 LESV、 LEDV明显低于治疗前与对照组 ;治疗 7d后,研究组 BNP水平明显低于治疗前与对照组,差异有统计学意义( P 关键词 冠脉介入 ;冠心痛 ;急性心肌梗死 ;心室重塑 Objective: To investigate the clinical effect of coronary intervention on acute myocardial infarction (AMI) of coronary heart disease (CHD) and its effect on ventricular remodeling. Methods: from January 2017 to April 2019, 94 patients with acute myocardial infarction of coronary heart disease were admitted and divided into two groups with 47 cases in each group according to different treatment methods. Routine treatment was given in the control group and coronary intervention was given in the study group. The changes of cardiac function indexes (left ventricular ejection fraction (LVEF), left ventricular end systolic volume (lesv), left ventricular end diastolic volume (ledv)) and B-type brain natriuretic peptide (BNP) were compared between the two groups. Results: after 7 days of treatment, LVEF in the study group was significantly higher than that before treatment and in the control group, while lesv and ledv were significantly lower than that before treatment and in the control group; after 7 days of treatment, BNP level in the study group was significantly lower than that before treatment and in the control group (P