| Objectives: This study mainly investigate:(1)operation time(2)contrast agent dosage(3)serum creatine(4)medical consumptive materials consumption(5)hospitalization expenses(6)hospitalization time length(7)postoperative incidence of heart failure(8)the incidence of angina pectoris(9)mortality with acute myocardial infarction complicated with multi-vessel lesions after successful PCI for non-infarct related arteries.Methods : Patients with acute myocardial infarction admitted to the Affiliated Hospital of Hangzhou Normal University in 2017.06-2018.11 with multiple vessel stenosis diameter ?70% were selected as subjects.After the PCI of the infarct-related vessels was directly completed,according to the random number table,they were divided into two groups randomly:1.Preventive PCI group: After opening the infarct-related blood vessels while other stenotic vessels are treated at the same time.2.Non-Preventive PCI group: only infarct-related vessels were treated,and other vessels were temporarily not treated(?7 days after selective operation).(1)operation time(2)contrast agent dosage(3)serum creatine(4)medical consumptive materials consumption(5)hospitalization expenses(6)hospitalization time length(7)postoperative incidence of heart failure(8)the incidence of angina pectoris(9)mortality were analyzed and compared between the two groups.Results: A total of 94 patients met the criteria for inclusion in the trial.There were 45 patients in the prophylactic PCI group and 49 patients in the non-prophylactic PCI group.Compared the two groups of patients:(1)Experimental group completed entirely reascularization is obviously shorter than the control group.(2)No difference between the total contrast agent dosage.(3)There was no significant difference in creatinine(4)Except angiography catheter,guide catheter,loach godet,coronary balloon,coronary godet dosage of experimental group were significantly less than the control group,and consumables costs significantly lower than the control group.(5)Experimental group total hospitalization cost slightly higher than the control group,but no significant statistical difference(P>0.05)?(6)Experimental group hospitalization days are smaller than the control group.(7)No difference between the incidence of postoperative cardiac failure.(8)Experimental group angina pectoris incidence significantly lower than the control group.(9)Two groups had no deaths.Conclusions:In patients with acute myocardial infarction complicated with multivessel disease,after successful PCI for infarct-related vessels,simultaneous treatment of non-infarct-related arteries can effectively shorten the total surgery time,reduce the average length of hospital stay,and reduce the cost of surgical consumables.It reduced the financial burden on patients while Increasing the amount of contrast agent used in emergency surgery did not cause significant damage to kidney function and can significantly reduce the incidence of postoperative angina pectoris. |
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