急诊PCI治疗高危不稳定性心绞痛的临床研究  

The Clinical Research of Emergency PCI for High Risk Unstable Angina Pectoris

作　　者：李郁金[1] 孙平[2] 陈刚[3] 

机构地区：[1]山东省青岛市中心医院急救中心,山东青岛266042 [2]山东省青岛市市立医院注射中心,山东青岛266042 [3]山东省日照市人民医院心内科,山东日照273000

出　　处：《河北医学》2007年第3期281-284,共4页Hebei Medicine

摘　　要：目的:评价急诊PCI治疗高危不稳定性心绞痛的疗效及安全性。方法:78例高危不稳定性心绞痛患者急诊入院后随机分为两组:急诊介入组46例,非急诊介入组32例,两组均行冠脉造影和介入治疗,对比观察30d内心脏事件(包括心绞痛、急性心肌梗死、猝死、再次介入治疗及冠脉搭桥手术)的发生率、症状缓解率、症状缓解时间和住院时间等。结果:急诊介入组与非急诊介入组比较,急诊介入治疗高危不稳定性心绞痛降低了30d内心脏事件(心绞痛、急性心肌梗死、猝死)的发生,p<0.05;缩短了症状缓解及住院时间,P<0.05;而手术的成功率及疗效相似,P>0.05。结论:急诊PCI治疗高危不稳定性心绞痛安全性高,疗效可靠,并可缩短住院时间。Objective:To study the efficacy and safety of emergency percutaneous coronary intervention(PCI) for high risk unstable angina pectoris.Method:78 patients with high risk UAP were randomized divided into two groups: emergent PCI groups,46 patients;non-emergent PCI groups,32 patients;All the patients were performed coronary angiography and percutaneous coronary intervention.The cardiac events(including angina pectoris,acute myocardial infarction,sudden death,reintervention and coronary artery bridge graft) in 30 days,symptom relief rate,symptom relief time,duration of hospitalization and hospitalization expenditure were recorded.Result:Emergent PCI decreased cardiac event(angina pectoris,acute myocardial infarction,sudden death) rates in 30 days,P<0.05,shortened symptom relief and hospitalization time,P<0.05,decreased hospitalization expenditure,P<0.05.But the procedural success rates and the efficacy were identical with non-emergent intervention group,P>0.05.Conclusion:Emergent PCI for high risk unstable angina pectoris is effective,safe,and also can shorten hospitalization time.

关 键 词：不稳定性心绞痛 冠状动脉介入治疗 

分 类 号：R541.4[医药卫生—心血管疾病]