急性心肌梗死患者应用PCI联合替罗非班治疗的疗效观察  

The Effect of PCI Combined with the Thrombus Aspiration in Patients with Acute Myocardial Infarction

作　　者：刘玉财[1] 

机构地区：[1]安丘市人民医院心内科,山东安丘262100

出　　处：《中国医药指南》2016年第14期36-37,共2页Guide of China Medicine

摘　　要：目的探讨急性心肌梗死(AMI)患者应用PCI联合替罗非班的临床疗效。方法将我院2013年1月至2015年4月收治的60例AMI患者,随机分为对照组30例,治疗组30例。对照组行PCI术,治疗组应用PCI联合冠状动脉内注射替罗非班,对比两组患者的临床疗效。结果介入治疗后,对照组患者LVEDd水平高于治疗组,P<0.05;对照组患者LVEF水平低于治疗组,P<0.05;介入治疗前,两组CK-MB、hs-c Tn T水平比较,P均>0.05,无统计学差异;介入治疗后,对照组患者的血清CK-MB、hs-c Tn T水平明显高于治疗组,P均<0.05;介入治疗后,对照组再发AMI、急性心力衰竭、再发心绞痛、死亡等发生率均高于治疗组,P均<0.05。结论 PCI联合替罗非班治疗AMI,疗效显著,值得临床推广。Objective To investigate the clinical effect of PCI combined with the thrombus aspiration in patients with acute myocardial infarction（AMI）.Methods 60 patients with AMI were randomly divided into the control group and 30 cases in the treatment group,which were treated in our hospital from January 2013 to April 2015.The control group was treated with PCI,and the treatment group was treated with PCI combined with coronary artery internal injection of thrombus aspiration.The clinical efficacies of the two groups were compared.Results After interventional treatment,the control group of patients with LVEDd levels was higher than those in the treatment group（P〈0.05）.The control group patients with LVEF levels were lower than those in the treatment group,P〈0.05;Interventional treatment,two groups of CK-MB,c Tn T compared P〈0.05,no statistically significant difference;after interventional therapy,control group serum CK-MB and c Tn T was significantly higher than those in the treatment group,P〈0.05;Interventional therapy,control group and acute myocardial infarction,AMI,angina,death,etc.The incidence were higher than those in the treatment group,P〈0.05.Conclusion Treatment of AMI with PCI combined with thrombus aspiration,curative effect was significant,it is worthy of clinical promotion.

关 键 词：急性心肌梗死 PCI 盐酸替罗非班 疗效 

分 类 号：R542.22[医药卫生—心血管疾病]