易化经皮冠状动脉介入术治疗急性ST段抬高型心肌梗死的临床观察  

Clinical observation for acute ST elevation myocardial infarction patients with facilitated percutaneous coronary intervention treatment

作　　者：卢竞前[1] 李易[1] 李建美[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,云南昆明650021

出　　处：《临床荟萃》2006年第15期1069-1071,共3页Clinical Focus

摘　　要：目的观察易化经皮冠状动脉介入术(PC I)治疗急性ST段抬高型心肌梗死(STEM I)的临床效果、安全性及治疗费用,探讨适合云南省STEM I新的救治模式。方法81例STEM I患者分为易化PC I组(42例)和选择性PC I组(39例),对比两组梗死相关动脉(IRA)开通率、左心室功能、住院期间不良反应及住院天数、费用。结果易化PC I组开通率为97.6%(41/42),选择性PC I组开通率为79.5%(31/39),两组比较差异有统计学意义(P<0.05),术后两组左室射血分数值分别为(53.8±6.7)%和(50.2±5.2)%,两组间差异有统计学意义(P<0.01);易化PC I组无死亡,选择性PC I组死亡6例,两组差别有统计学意义(P=0.01);两组慢血流、再梗死、脑卒中等不良反应差异无统计学意义;住院费用为(4.5±1.6)万元和(5.3±1.2)万元,住院天数为(7.3±2.4)天和(13.6±5.8)天,两组差别均有统计学意义(P<0.05和P<0.01)。结论易化PC I治疗STEM I安全有效、经济易行,值得临床推广应用。Objective To observe the clinic effect, safety and expenses of the ST elevation myocardial infarction （STEMI） patients with facilitated percutaneous coronary intervention（PCI）, and to search a new cure pattern for STEMI patients＇ fasting. Methods Eighty-one STEMI patients were divided into two groups. One group accepted facilitated PCI（ n = 42）, the other group took routine PCI （ n ： 39）. Successful rate of infusing infarction related artery（IRA）, left ventricular function,major cardical side effect in hospital and expenses were compared between two groups. Results The successful rate of facilitated PCI group was 41/42, while routine PCI group 31/39. Left ventricular ejection fraction after therapy in facilitated PCI group was （53.8 ± 6.7）% and that in routine PCI group （50.2±5.2）%（ P〈0.05）. There were no dead patients in facilitated PCI group, but 6 dead patients in routine PCI group. There were no difference slow flow, re-infarction, stroke between two groups. The expense was RMB ￥（45 000±16 000） yuan in facilitated PCI group and （53 000±12 000） yuan in routine PCI group（ P〈0.05）. The hospitalization was （7.3±2.4） days and （13.6 ± 5.8） days,respectively （P〈0.05）. Conclusion Facilitated PCI is a more safe, effective and economical treatment than routine PCI, which will be useful for clincal acute myocardial infarction.

关 键 词：心肌梗塞 溶栓治疗 易化经皮冠状动脉介入治疗 

分 类 号：R542.22[医药卫生—心血管疾病]