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《Doctor》 2016-01
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Clinical Analysis of Acute Myocardial Infarction with Cardiogenic Shock in Elderly Patients

Tian Hui;The Affiliated Hospital Of Qindao University;  
Objective to investigate the clinical treatment of acute myocardial infarction in elderly patients with acute myocardial infarction and its therapeutic effect.Methods the thesis Selected 82 cases of acute myocardial infarction and cardiogenic shock patients from the Department of Cardiology in our hospital between July 2014 and February 2016 as the research objectand random Ly divided them into 41 observation groups(percutaneous coronary artery interventional therapy) and 41 control groups(thrombolytic therapy), and then observed the clinical effect of the treatment of the patients from these two groups,the recovery of heart function and other body charter indexes.Results compared with the control group, the treatment efficiency of the observation group(90.2% 78%) was higher and the comparison was statistically significant(P 0.05).Before treatment, LVEDD, LVESD and LVEF heart function index of the patient from these two groups have small differences(P 0.05); after treatment, the cardiac function of the patients from these two groups were significantly improved(P 0.05), and patients from the observation group with cardiac function recovery was better than the control group. Compared with the control group, the LVEDD[(50.92 + 7.23) mm (56.95 + 6.74) mm],LVESD[(30.72 + 5.32) mm (36.5 + 5.41) mm] of patients from the observation group was significantly lower than the control group, and LVEF[(53.43 + 7.34)%,(43.42 + 6.38) were significantly higher than the control group(P 0.05). In the observation group, HR[(84.23 + 7.41)/min (108.36 + 8.26)/min],SBP[(117.76 + 11.26) mm Hg (132.64 + 9.64) mm Hg], DBP[(80.95 + 10.48) mm Hg (91.36 + 9.47) mm Hg],had significant differences(P 0.05). Conclusionin the clinical treatment of elderly patients with acute myocardial infarction and cardiogenic shock, percutaneous coronary artery interventional therapy is more effective and works better in improving the heart function of patients in clinical application.
【CateGory Index】: R541.64;R542.22
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