目的探讨重组人尿激酶原(rhPro-UK)对急性ST段抬高型心肌梗死经皮冠状动脉介入(PCI)治疗患者心肌灌注及心血管不良事件(MACE)发生率的影响。方法回顾性分析2018年7月至2020年7月在我院诊治的68例急性ST段抬高型心肌梗死患者的临床资料,将单纯进行PCI术治疗的患者(34例)设为对照组,将进行rhPro-UK联合PCI术治疗的患者(34例)设为观察组。比较两组患者的一般情况;比较两组患者治疗后的心肌灌注情况以及MACE发生情况。结果两组患者的性别、年龄、体质量指数等一般情况比较,差异无统计学意义(P>0.05)。术后,观察组患者的心肌有效灌注率显著高于对照组,心肌灌注情况明显优于对照组,差异有统计学意义(P<0.05)。两组患者的术后MACE发生率比较,差异无统计学意义(P>0.05)。结论rhPro-UK联合PCI术治疗,可有效提高急性ST段抬高型心肌梗死患者的心肌灌注率,但不增加患者术后不良事件的发生风险。
ObjectiveTo investigate the effect of recombinant human pro-urokinase (rhPro-UK) on acute ST-segment elevation myocardial infarction percutaneous coronary intervention (PCI) in treating myocardial perfusion and the incidence of major adver cardiovascular events (MACE). MethodsThe clinical data of 68 patients with acute ST-segment elevation myocardial infarction admitted to our hospital from July 2018 to July 2020 were retrospectively analyzed, among which 34 patients treated with simple PCI were included in the control group, and other 34 patients treated with rhPro-UK combined with PCI were enrolled in the observation group. The general conditions were compared between the two groups; moreover, myocardial perfusion condition and the incidence of MACE were also compared between the two groups. ResultsThere were no statistically significant differences in general conditions between the two groups, as for gender, age and body mass index (P>0.05). After surgery, the observation group yielded a higher effective myocardial perfusion rate, and a superior condition of myocardial perfusion as compared with the control group, with statistically significant differences (P<0.05). There was no statistically significant difference in the incidence of MACE after surgery between the two groups (P>0.05). ConclusionrhPro-UK combined with PCI can effectively improve the myocardial perfusion rate of patients with acute ST-segment elevation myocardial infarction, but it does not increase the risk of postoperative adverse events.