支架及时植入对急性广泛前壁心肌梗死患者血管再狭窄及心脏功能恢复的影响

The Impact of Timely Stent Implantation on Vascular Restenosis and Cardiac Function Recovery in Patients with Acute Extensive Anterior Wall Myocardial Infarction

摘要: 目的：探讨支架及时植入对急性广泛前壁心肌梗死患者血管再狭窄及心脏功能恢复的影响研究。方法：以医院近期收治急性广泛前壁心肌梗死患者为例，随机抽取30名，并获取30名患者书面知情同意后，严格遵循随机对照原则开展研究，均分为对照组(15例)、观察组(15例)，对照组采取常规治疗，观察组采取及时PCI支架置入治疗。通过对比两组患者治疗后的心脏功能影响，并对结果进行统计学数据分析。结果：观察组患者采用及时PCI支架置入治疗可以有效改善心功能LVEF、LVESD、LVEDD，消除冠脉狭窄，且P < 0.05，具有统计学意义。结论：基于本次研究临床观察与研究数据显示，将两组患者治疗后的心脏功能指标进行对比分析，发现观察组心功能评分更好，故PCI支架置入可以持续保持冠状动脉的通畅，在急性心肌梗死的抢救与后期血管功能维护中发挥着不可替代的作用，值得进一步研究推广。

Abstract: Objective: To investigate the effect of timely stent implantation on vascular restenosis and cardiac function recovery in patients with acute extensive anterior wall myocardial infarction. Methods: Thirty patients with acute extensive anterior wall myocardial infarction recently admitted to the hospital were randomly selected. After obtaining written informed consent from all 30 patients, a study was strictly conducted following the randomized controlled principle. The patients were equally divided into a control group (15 cases) and an observation group (15 cases). The control group received conventional treatment, while the observation group received timely PCI stent implantation therapy. The effects on cardiac function after treatment were compared between the two groups, and the results were subjected to statistical data analysis. Results: Timely PCI stent implantation in the observation group effectively improved cardiac function indicators (LVEF, LVESD, LVEDD), eliminated coronary stenosis, and the results were statistically significant (P < 0.05). Conclusion: Based on the clinical observations and research data from this study, comparison and analysis of the cardiac function indicators after treatment between the two groups revealed that the observation group had better cardiac function scores. Therefore, PCI stent implantation can continuously maintain coronary artery patency and plays an irreplaceable role in the emergency treatment of acute myocardial infarction and the long-term maintenance of vascular function, warranting further research and promotion.