易化PCI和常规PCI治疗急性心肌梗死81例临床观察  

Facilitated and routine PCI therapy in 81 acute myocardial infarction patients

作　　者：李易[1] 李建美[1] 卢竞前[1] 杨锋[1] 吕云[1] 洪云飞[1] 李玉[1] 张荣华[1] 吴燕[1] 

机构地区：[1]云南省红十字会医院心脏中心内科

出　　处：《中国心血管病研究》2006年第2期112-114,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的比较分析易化PCI和常规PCI治疗急性心肌梗死(AMI)的临床疗效。方法81例AMI患者分别行易化PCI术(42例)和常规PCI术(39例),对比两组梗塞相关血管(IRA)开通率、左心室功能、不良反应。结果易化PCI组开通率为97.6%41/42),常规PCI组开通率为79.5%31/39),出院时两组射血分数值为(53.8±6.7)%((和(50.2±5.2)%;易化PCI组无死亡,常规PCI组死亡6例,两组出血、再梗死、脑卒中等不良反应差异无统计学意义。结论易化PCI治疗AMI可以尽快开通罪犯血管,改善心功能,安全有效,并发症少,值得临床推广应用。Objective To compare the clinical effect of facilitated PCI and routine PCI in acute myocardial infarction （AMI） patients. Methods 81 AMI patients were divided into facilitated PCI group （n=42）and routine PCI group （n= 39）. Operation success rate, left ventricular function and adverse events were compared in the two groups. Results The successful rate of facilitated PCI group was 41/42, while routine PCI group was 31/39. The EF in facilitated PCI group was （53.8±6.7）% and in routine PCI group was （50.2±5.2）%. No patient died in facilitated PCI group while 6 death in routine PCI group. There were no different with bleeding, re-infraction or stroke in two group. Conclusion Facilitated PCI can reperfuse infarction related artery faster, improve heart function and is safe, efficient treatment for AMI.

关 键 词：心肌梗塞 血管形成术 经腔 经皮冠状动脉 

分 类 号：R651.4[医药卫生—外科学]