急診PCI術(shù)對(duì)AMI患者早期心臟LVEF,LVED,NT-proBNP的影響
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本文關(guān)鍵詞:急診PCI術(shù)對(duì)AMI患者早期心臟LVEF,LVED,NT-proBNP的影響 出處:《青島大學(xué)》2015年碩士論文 論文類型:學(xué)位論文
更多相關(guān)文章: 急診PCI術(shù) 彩色多普勒超聲 LVED LVEF NT-proBNP
【摘要】:目的:探討急診PCI治療術(shù)對(duì)AMI患者早期心臟LVEF,LVED,NT-pro BNP的影響。方法:將40例明確診斷的AMI患者,根據(jù)臨床癥狀,心電圖,及心肌酶譜將患者分為急診PCI治療組和擇期PCI治療組,應(yīng)用彩色多普勒及血液學(xué)指標(biāo)NT-pro BNP檢查對(duì)兩組患者分別進(jìn)行入院時(shí)查L(zhǎng)VEF,LVED,NT-pro BNP,手術(shù)后1周及1月復(fù)查上述指標(biāo),了解兩組患者早期心臟LVEF,LVD,NT-pro BNP的差別。結(jié)果:急診PCI組與擇期PCI組在入院第一天LVED(mm)相比無(wú)顯著性差異(48.09±1.88 vs 48.52±2.16 t=0.667,P0.05),術(shù)后1周LVED(mm)相比有顯著性差異(52.84±1.53 vs 50.03±1.32 t=6.189,P0.05),術(shù)后1月LVED(mm)相比有顯著性差異(52.17±2.34 vs 49.26±2.46 t=7.691,P0.05)。兩組在入院第一天NT-pro BNP相比無(wú)顯著性差異(1170.9±593.5 vs 1275.1±621.5t=0.5365,P0.05),術(shù)后1周NT-pro BNP相比有顯著性差異(1130.1±583.5 vs1413.8±919.6 t=1.193,P0.05),術(shù)后1月NT-pro BNP相比有顯著性差異(1348.6±215.4 vs 747.9±242.8 t=6.384,P0.05)。兩組在入院第一天LVEF相比無(wú)顯著性差異(49.21±5.03 vs 48.95±2.98 t=0.1856,P0.05),術(shù)后1周LVEF相比有顯著性差異(47.56±5.32 vs 42.49±2.31 t=3.581,P0.05),術(shù)后1月LVEF相比有顯著性差異(53.27±4.25 vs 45.31±3.26 t=6.341,P0.05)。結(jié)論:急診PCI治療術(shù)對(duì)AMI患者早期心臟LVED,LVEF,NT-pro BNP的改善具有明顯的作用。
[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.
【學(xué)位授予單位】:青島大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2015
【分類號(hào)】:R541
【參考文獻(xiàn)】
相關(guān)期刊論文 前1條
1 馬世霞;劉寧紅;賈武梅;;冠狀動(dòng)脈PCI術(shù)前后左室收縮及整體功能的超聲心動(dòng)圖評(píng)價(jià)[J];寧夏醫(yī)學(xué)雜志;2010年12期
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