急诊冠状动脉介入术中应用血栓抽吸加直接支架技术疗效研究  

The effect of thrombus aspiration plus direct stenting technique on acute myocardial infarction patients in emergency percutaneous coronary intervention

作　　者：高远[1] 张海山[1] 李玉泽[1] 郭亮[1] 田文[1] 贾大林[1] 张月兰[1] 齐国先[1] 孙英贤[1] 

机构地区：[1]中国医科大学附属第一医院心内科,沈阳110001

出　　处：《中国实用内科杂志》2013年第6期479-481,共3页Chinese Journal of Practical Internal Medicine

摘　　要：目的评估血栓抽吸加直接支架技术在急性ST段抬高型心肌梗死(STEMI)患者急诊冠状动脉介入手术中应用的效果。方法收集2011年7月至2012年8月在中国医科大学附属第一医院住院的142例STEMI患者,入院后行急诊PCI手术。将其随机分为试验组和对照组,其中试验组72例行血栓抽吸加直接支架置入,对照组70例行传统球囊预扩张后支架置入。比较两组患者术后冠状动脉血管血流、心肌梗死范围、180 d主要不良心脏事件(MACE)发生率。结果与对照组相比,试验组冠状动脉血流明显得到改善,无复流现象发生少,心肌梗死范围小。术后180 d MACE发生率低。结论急性ST段抬高型心肌梗死患者行急诊冠状动脉介入术中应用血栓抽吸加直接支架置入技术可提高冠状动脉血流灌注,减少术后180 d MACE发生率。Objective To assess the effect of thrombus aspiration plus direct stenting in emergency percutaneous coronary intervention（PCI） acute ST-segment elevation myocardial infarction patients. Methods 142 consecutive patients with acute ST-segment elevation myocardial infarction patients underwent emergency PCI were involved ,72 patients were randomly assigned to the experiment group （thrombus aspiration plus direct stenting） ,70 patients were randomly assigned to the con- trol group （traditional balloon dilation and stenting）. Comparing coronary blood flow, myocardial infarct size, 180 days MACE incidence between the two groups. Results With the control group, the experiment group and better coronary blood flow ,had less the no-reflow phenomenon, smaller range of myocardial infarction, and bad lower 180 days MACE incidence. Conclusion In emergency for acute ST-segment elevation myocardial infarction patients, thrombus aspiration and direct stenting technology can improve coronary perfusion and reduce postoperative 180 days MACE incidence.

关 键 词：急性心肌梗死 血管成形术 急诊冠脉动脉介入术 血栓抽吸 

分 类 号：R541.4[医药卫生—心血管疾病]