| 买力旦木·艾克拜 玛依努尔·买买提明 迪丽努尔·买买提江 樊雪婷 尼慕荣.ST段抬高性和非ST 段抬高性急性心肌梗死患者的冠状动脉病变特点比较[J].,2016,16(30):5896-5899 |
| ST段抬高性和非ST 段抬高性急性心肌梗死患者的冠状动脉病变特点比较 |
| Comparison of the Characteristics of Coronary Artery Lesions betweenPatients with non-ST-segment elevation and ST-segment elevation Acute Myocardial Infarction |
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| DOI： |
| 中文关键词: 急性心肌梗死 动态心电图 冠状动脉病变 ST 段抬高性急性心肌梗死 非ST 段抬高性急性心肌梗死 |
| 英文关键词: Acute myocardial infarction Holter monitoring Coronary artery disease Non-ST-segment elevation acute myocardial
infarction ST-segment elevation acute myocardial infarction |
| 基金项目:新疆医科大学创新基金项目（XJC201369） |
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| 中文摘要: |
| 目的：比较ST 段抬高性和非ST段抬高性急性心肌梗死患者的冠状动脉病变特点。方法：选取100 例在我院接受24h 动态
心电图和冠状动脉造影检查的急性心肌梗死患者，根据心电图结果分为观察组和对照组各50 例。对照组为ST 段抬高性心肌梗
死(STEMI)患者，观察组为非ST 段抬高性心肌梗死(NSTEMI)患者，比较两组患者冠状动脉病变的差异。结果：对照组LAD(左前
降支)闭塞血管比例(52.00%)显著高于观察组(18.00%)，差异具有统计学意义(P<0.05)。对照组LCX(回旋支)闭塞血管比例(8.00%)
显著低于观察组(50.00%)，差异具有统计学意义(P<0.05)。对照组RCA(右冠脉主干)闭塞血管比例(40.00%)和观察组(30.00%)比
较，差异无统计学意义(P>0.05)。对照组单支病变比例(46.00%)明显高于观察组(12.00%)，对照组三支病变比例(20.00%)明显低于
观察组(48.00%)比较，差异均具有统计学意义(P<0.05)。对照组二支及正常血管比例与观察组比较，差异均无统计学意义(P>0.05)。
对照组罪犯血管狭窄程度在76%-90%、91%-99%及完全闭塞的比例与观察组比较差异均具有统计学意义(P<0.05)。罪犯血管狭窄
程度在<50%及50%-75%时，两组差异无统计学意义(P>0.05)。两组并发症发生情况比较，差异无统计学意义(P>0.05)。结论：①
NSTEMI罪犯血管闭塞以LCX多见，STEMI罪犯血管闭塞以LAD多见；②NSTEMI以三支血管病变较多见，STEMI 以单支病变
较多见。 |
| 英文摘要: |
| Objective:To investigate the relationship between coronary artery disease and abnormal ECG between 24h ambulatory
patients with acute myocardial infarction.Methods:100 patients in our hospital 24 h dynamic electrocardiogram and coronary
angiography in patients with acute myocardial infarction, according to ECG findings are divided into observation group and control
group, each group were 50 cases. The control group were STEMI patients, the observation group were NSTEMI patients, the ECG and
coronary artery disease were compared between two groups.Results:The percentage of LAD artery occlusion (52.00%) of control group
was significantly higher than that of the observation group (18.00%)(P<0.05). The percentage of LCX artery occlusion (8.00%) of control
group was significantly lower than that of the observation group (50.00%) (P<0.05). No statistically significant was found in the
percentage of vascular occlusion of RCA between control group (40.00%) and observation group (30.00%). The percentage of
single-vessel disease of control group (46.00%) was significantly higher than of the observation group (12.00%), the percentage of three
lesions of the control group (20.00%) was significantly lower than that of the observation group (48.00%) (P<0.05). The percentage of
vascular stenosis in criminal 76% -90%, 91% -99% and total occlusion were statistically different between two groups (P<0.05). No
significant difference was found in the culprit artery stenosis in <50% and 50% -75% between two groups (P>0.05). No significant
difference was found in the incidence of complications between two groups (P>0.05).Conclusion:1, NSTEMI vascular occlusion with
LCX common criminals, STEMI vascular occlusion in LAD criminals common ECG predict acute myocardial infarction and coronary
angiography culprit vessels in line with the higher rate; 2, NSTEMI with triple vessel disease were more common, STEMI with single
vessel disease were more common, when patients with NSTEMI need to early treatment. |
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