血栓抽吸在ST段抬高型急性心梗PCI治疗中应用价值研究  

Clinical effect of thrombus aspiration combined with PCI for the treatment of in ST-segment elevation acute myocardial infarction

作　　者：孙薇[1] 姬晓波[2] 时伟彬 傅春江[3] 

机构地区：[1]第三军医大学大坪医院信息科,重庆400042 [2]第三军医大学大坪医院野战外科研究所信息科,重庆400042 [3]第三军医大学大坪医院心血管内科,重庆400042

出　　处：《现代仪器与医疗》2013年第6期66-68,71,共4页Modern Instruments & Medical Treatment

摘　　要：目的探讨血栓抽吸对ST抬高段心肌梗死患者临床治疗效果,为STEMI临床治疗提供数据参考。方法回顾我院2009年4月至2013年1月间收治300名心梗患者,根据纳入及排除标准筛选出80名STEMI患者,依据血栓抽吸与否分为A组(抽出血栓组)、B组(未抽出血栓组),每组各40例。对比分析A、B2组患者心脏血运以及心脏功能改善情况,以评价血栓抽吸具体疗效。结果 A组与B组比较,PCI术后ST回落率、TIM血流分级、TMP心肌灌注分级、左心室射血分数以及1月内MACE发生率P<0.05,差异具有统计学意义,2组间左心室舒张末期直径(LVEDD)差异具有显著统计学意义(P<0.01)。结论血栓抽吸能够有效改善STEMI患者心肌功能和心肌血运状况,进行血栓抽出时临床疗效预后较为理想。Objective To investigate the clinical effect of thrombus aspiration combined with PCI for the treatment of in ST-segment elevation acute myocardial infarction, to provide a reference for the treatment of STEMI. Methods Reviewed the clinical data of 300 cases patients with STEMI, which were treated in our hospital during 2009.04-2013.01, 80 cases patients were chosen and as the objects for this study. The patients were divided into A and B group according to the thrombus extraction conditions. Then compared and analysis the degree of the improvement of the cardiac revascularization and cardiac function. Results The PCI postoperative ST drop rate, TIM flow grade, TMP myocardial perfusion grade of A group were better than B group, and the difference between the two group has a statistically significant（P0.05 or 0.01）. Conclusions Thrombus aspiration could improve the cardiac function and myocardial blood flow conditions of STEMI patients, but the best clinical effect could be received while the Thrombosis was drawn.

关 键 词：血栓抽吸 ST 段抬高型心肌梗死 经皮冠状动脉介入治疗 心肌梗死 

分 类 号：R542[医药卫生—心血管疾病]