PTCA及血管支架治疗急性心肌梗死时机选择与心脏功能关系的研究  

Study of Relation between the Choice of Right Moment and Heart Function to Treat AMI with PTCA and Stent

作　　者：李元风[1] 赵春玲 谢忠艳 

机构地区：[1]黑龙江省医院 [2]五常市中医院 [3]不详

出　　处：《黑龙江医学》1999年第10期10-11,共2页Heilongjiang Medical Journal

摘　　要：目的：研究PTCA及血管支架安装治疗急性心肌梗死的时机选择与心脏功能关系。方法：本组78例，分为两组。A组为6h以内急诊，直接行PTCA血管支架安装的病人29例，男：女为23：6，平均年龄51．6±12．7岁。B组为49例，男：女为38：11，年龄52．3±11．5岁。急性期静脉溶栓（6h内）后于24～72h补救PTCA及血管支架安装的病人。结果：术后1周、4周做超声心动图检查，其左室射血分数（LVEF）情况A组VSB组：第1周0．52±0．07VS0．51±0．07（P＞0．05），第4周0.58±0.08VS0．52±0．06（P＜0．05）。结论：急性心肌梗死病人在发病6h内行PTCA及支架安装能及时地使血运重建，达到改善心脏功能的作用。Objective:To study relation between the choice of right moment and heart function to treat AMI with PTCA and stent. Methods:78 cases were divided into 2 groups A and B.29 cases (A group) were underwent PTCA or stent treatment within 6 hours onset (male:female 23:6,mean 51 .56 ± 12.7) .49 cases (B group) were underwent PTCA and stent treatment in 24~72 hours after thrombolytic treatment within 6 honset(male:female 38: 11,mean age 52. 3 ±11.5). Results:The LVEF were obtained with ecbocardiogram at 1 and 4 week post - operation. A vs. B:0.52 ±0.07vs.0.51 ± 0.07 at 1 weck, 0. 58 ± 0.08 vs.0.52 ± 0. 06 at 4 week. Conclusion: PTCA and stent treatment should perform in time so that to reestablish blood supply and improve heart function.

关 键 词：血管支架 PTCA 治疗 心脏功能 急性心肌梗死 病人 时机选择 结论 情况 目的 

分 类 号：R542.22[医药卫生—心血管疾病] R654[医药卫生—内科学]