目的 分析急性心肌梗死西医治疗策略与临床预后。方法 选取青岛市黄岛区中医医院2022年1月至2023年6月100例急性心肌梗死患者,用随机数字表法分组,对照组纳入的50例运用常规治疗,观察组纳入的50例开展急诊PCI治疗,比较两组治疗有效率、心功能指标、不良反应、血管内皮功能、炎症因子水平及并发症发生率。结果 观察组治疗有效率、心功能指标、血管内皮功能、并发症发生率、炎症因子水平均优于对照组（P<0.05）。两组不良反应发生率比较无统计学意义（P>0.05）。结论 在急性心肌梗死患者治疗期间,通过予以急诊PCI治疗方式,具有改善心功能、血管内皮功能的效果,且能够降低炎症因子水平,有助于降低不良反应发生率,很大程度上提高了治疗水平。

Objective To analyze the Western medicine treatment strategy and clinical prognosis of acute myocardial infarction. Methods A total of 100 patients with acute myocardial infarction treated from Huangdao District Hospital of Traditional Chinese Medicine of Qingdao City from January 2022 to June 2023 were selected and divided into groups by random number table method. 50 cases included in the control group received conventional treatment, and 50 cases included in the observation group received emergency PCI treatment. Comparison of treatment efficiency, cardiac function indexes, adverse reactions, vascular endothelial function, inflammatory factor levels and complication rates between the two groups. Results The treatment efficiency, cardiac function index, vascular endothelial function, complication rate and inflammatory factor level in observation group were better than those in control group (P<0.05). There was no statistical significance in the incidence of adverse reactions between the two groups (P>0.05). Conclusions During the treatment of patients with acute myocardial infarction, emergency PCI can improve the cardiac function and vascular endothelial function, reduce the level of inflammatory factors, help to reduce the incidence of adverse reactions, and improve the treatment level to a large extent, which is worthy of reference.