老年急性前壁心肌梗死3支血管病变患者应用主动脉内球囊反搏临床效果  

Clinical efficacy of intra-aortic balloon pump couterpulsation in elderly acute anterior myocardial infarction patients with 3-vessel lesion

作　　者：姜钧文[1] 于静[2] 齐静[3] 季康寿[1] 杨关林[4] 

机构地区：[1]辽宁中医药大学研究生院,沈阳110032 [2]辽宁中医药大学附属医院风湿免疫科 [3]辽宁中医药大学附属医院心内二科 [4]辽宁中医药大学研究生院校办公室,沈阳110032

出　　处：《中华老年心脑血管病杂志》2014年第11期1161-1163,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

基　　金：辽宁省科技厅(2012225018)

摘　　要：目的 研究老年急性前壁心肌梗死3支血管病变患者应用主动脉内球囊反搏（IABP）的临床效果.方法 符合入选标准的43例患者均行PCI,采取前瞻性的研究方法,以随机数字表非等量随机法,按是否行IABP,将IABP支持的21例作为实验组,未行IABP支持的22例作为对照组,比较2组患者住院期间生存率及远期生存曲线变化.结果 实验组住院期间生存率较对照组明显升高了13.4％（95.2％ vs 81.8％,P=0.011）.Cox回归分析显示,IABP是患者预后的支持因素（β=0.931,OR=0.394,95％CI：0.165-0.942,P=0.036）.实验组远期生存曲线明显优于对照组（84.3％ vs 70.3％,P=0.003）.结论 老年急性前壁心肌梗死3支病变的患者IABP置入能有效提高近期及远期生存率,改善患者预后.Objective To study the clinical efficacy of intra-aortic balloon pump （IABP） in elderly acute anterior myocardial infarction patients with 3-vessel lesion.Methods Forty-three acute anterior myocardial infarction patients were divided into experimental group or IABP treatment group （n=21） and control group or non-IABP treatment group （n=22）.Their in-hospital and long-term survival curves were compared.Results The in-hospital survival rate was significantly higher in experimental group than in control group （95.2％ vs 81.8％,P=0.011）.Cox regression analysis showed that IABP was a predictor for the outcome in acute anterior myocardial infarction patients （β=0.931,OR=0.394,95 ％CI：0.165-0.942,P=0.036）.The long-term survival curve was better for experimental group than for control group （84.3％ vs 70.3％,P=0.003）.Conclusion IABP can effectively improve the short-and long-term survival rate and the outcome in acute anterior myocardial infarction patients with 3-vessel lesion.

关 键 词：心肌梗死 主动脉内气囊泵 冠状血管造影术 血管疾病 危险因素 

分 类 号：R542.22[医药卫生—心血管疾病]