【摘要】目的 探究急性心肌梗死中应用阿替普酶静脉溶栓治疗的临床疗效。方法 将本院收治的急性心肌梗死患者30例随机均分为参照组和试验组。参照组给予尿激酶静脉溶栓进行治疗，试验组给予阿替普酶静脉溶栓进行治疗。比较两组治疗效果。结果 试验组患者的冠状动脉再通率、胸痛症状缓解率明显高于参照组，差异有统计学意义(P<0.05);试验组患者的并发症发生率明显低于参照组，差异无统计学意义(P>0.05)。结论 在急性心肌梗死患者中采用阿替普酶静脉溶栓治疗能达到更好效果，不增加并发症发生率风险，有利于病情的恢复。

    【关键词】阿替普酶;静脉溶栓;急性心肌梗死;疗效

    【中图分类号】R969.4 【文献标识码】A 【文章编号】ISSN.2095.6681.2020.32..02

    【Abstract】Objective To explore the clinical efficacy of intravenous alteplase in the treatment of acute myocardial infarction.Methods 30 patients with acute myocardial infarction admitted in our hospital were randomly divided into reference group and test group. The reference group was treated with urokinase intravenous thrombolysis and the test group was given alteplase intravenous thrombolysis.Compare the treatment effect of the two groups.Results Coronary artery recanalization rate and chest pain relief rate in the test group were significantly higher than the reference group ......