目的：探讨不同药物联用在老年患者急性心肌梗死内科保守治疗中的临床效果及其预后。方法对来我院诊治的80例患者入院资料进行分析，将其随机分为两组。对照组采用磷酸肌酸钠注射液治疗，实验组联合丹红注射液治疗，比较两组治疗效果。结果实验组（1.6±0.5）h后胸痛缓解，（11.4±3.0）h后CK-MB发生变化，（1.4±0.6）h后患者ST段下降超过50%，均低于对照组（P<0.05）；实验组31例12 h后血管再通，血管再通率为77.5%，高于对照组（32.5%）（P<0.05）；实验组治疗后并发症发生率为10%，低于对照组（并发症发生率为20%）（P<0.05）。结论老年患者急性心肌梗死发病率较高，临床上采用磷酸肌酸钠注射液联合丹红注射液治疗效果理想，值得推广使用。%Objective To investigate the clinical effect and prognosis in elderly patients with acute myocardial infarction combined with conservative treatment in the department of internal medicine of different drugs.Methods 80 cases of patients admitted to our hospital were analyzed, and were randomly divided into two groups. The control group using creatine phosphatesodium injection, the experimental group combined with Danhong injectiontherapy, treatment effects were compared between the two groups.Results The experimental group(1.6 ±0.5)h after chest pain,(11.4±3)h changes of CK MB after h, (1.4±0.6)h in patients with ST segment declined by more than 50%, were lower than the control group(P<0.05); 31 cases in experimental group 12 hours after recanalization, vascular recanalization rate 77.5%, higher than that of the control group(32.5%)(P<0.05); the incidence of complications was 10% in experimental group after treatment, lower than that of the control group(complication rate was 20%)(P<0.05).Conclusion Elderly patients with acute myocardial infarction incidence, clinical use of creatine phosphate sodium injection combined with Danhong injection in the treatment of ideal effect, is worthy to be popularized.
展开▼
