直接支架术对急性冠脉综合征无复流的影响  

Effect of direct stenting on the no-reflow phenomenon in acute coronary syndrome

作　　者：何奔[1] 历锦华[1] 刘建平[1] 金叔宣[1] 孙宝贵[2] 王彬尧[1] 

机构地区：[1]上海第二医科大学仁济医院心内科,上海200001 [2]上海市第一人民医院心内科

出　　处：《上海第二医科大学学报》2004年第10期833-835,共3页Acta Universitatis Medicinalis Secondae Shanghai

摘　　要：目的 评价直接支架术对急性冠脉综合征(ACS)患者无复流现象的影响。方法 203例急性冠脉综合征患者分为直接支架术79例与常规支架术124例,分析其罪犯病变血管术中无复流现象的发生率,并随访观察其对急性期心脏事件的影响。结果直接支架术中发生无复流现象4例(5.1％),常规支架术中发生无复流现象18例(14.5％)(P<0.05)。22例发生无复流的患者,件院期间心脏负性事件的发生率与未发生无复流现象者比较明显增高(27％vs 7％,P<0.01)。结论 直接支架术有助于降低ACS患者无复流现象的发生率;发生无复流现象预示着较高的负性预后事件。Objective To evaluate the effect of direct stenting technique on the no-reflow phenomenon in acute coronary syndrome(ACS). Methods Two hurdred and three cases of ACS with intact data were retrospectively analysed according to direct stenting(n =79) or routine stenting(n=124) ( predilatation then provisional stenting) technique. The no-reflow rates and major cardiac events( MACEs) were recorded during the procedure and hospitali-zation. Results No-reflow occurred in 4 cases of the direct stent group and 18 of the 124 routine stent group (5.1% vs 14.5% respectively)( P<0.05) ; compared with without no-reflow group, patients with no-reflow had significantly higher MACEs rates(27% vs 7% )(P<0.01). Conclusion Direct stenting is useful in reducing the no-reflow rate and no-reflow is associated with a higher MACEs rate in ACS patients.

关 键 词：无复流现象 直接支架术 患者 急性冠脉综合征 术中 发生率 ACS 病变 心脏 降低 

分 类 号：R541.4[医药卫生—心血管疾病]