SYNTAX score Ⅱ积分在急性心肌梗死患者急诊直接PCI中的应用价值  

Application value of SYNTAX score Ⅱ in the patients with acute myocardial infarction treated with primary PCI

作　　者：冉晨光[1] 张玉辉[1] 王晨[1] 王澎 李猛 赵磊[1] 韩立宪[1] 王钢[1] 

机构地区：[1]河北省沧州市中心医院心血管内一科,河北沧州061000 [2]河北省沧州市人民医院医学检验中心,河北沧州061000 [3]河北省盐山县育康医院内科,河北盐山061300

出　　处：《海南医学院学报》2016年第19期2266-2268,共3页Journal of Hainan Medical University

基　　金：河北省沧州市科技支撑计划项目(141302087)~~

摘　　要：目的：分析SYNTAXscoreⅡ积分在急性心肌梗死患者急诊直接PCI中的应用价值。方法：选取2011年11月～2014年9月本院收治的240例急性心肌梗死急诊直接PCI患者为研究对象，将其根据SYNTAXscore1I积分分为A组（〈21分组）80例、B组（21～31分组）80例及C组（〉31分组）80例，比较3组无复流发生率、不良心脑血管事件发生率、预后相关血清指标及血小板活化指标。结果：A组无复流发生率、不良心脑血管事件发生率、预后相关血清指标及血小板活化指标均低于B组及C组（P均〈0．05），B组低于C组（P均〈0．05），且3组中单支及多支病变患者的上述检测结果间均存在明显差异（P均〈0．05）。结论：SYNTAXscoreⅡ积分在急性心肌梗死患者急诊直接PCI中的应用价值较高，因此本积分标准在此类患者中具有积极的临床应用意义。Objective： To investigate and analyze the application value of SYNTAX score Ⅱ in the patients with acute myocardial infarction （AMI） who were treated with primary direct PCI in our hospital. Methods.. A total of 240 cases of pa- tients with acute myocardial infarction who were treated with primary PCI in our hospital from November 2011 to September 2014 were chosen as the research object. According to SYNTAX score Ⅱ points, they were divided into the A group （〈21 points group） of 80 cases, B group （21 to 31 points group） of 80 cases and C group （〉31 points group） of 80 cases. The inci- dence of no-reflow, adverse cardiac and cerebrovascular event rate, prognosis serum markers and platelet activation markers of the three groups were compared. Results： The incidence of no-reflow, adverse cardiac and cerebrovascular event rate, prognosis serum markers and platelet activation markers of A group were lower than those of group B and group C, and group B were alllower than those of group C. The detection result of the three groups of single and multi-vessel disease patients were without obvious difference, all P 〈0.05, and there were significant differences. Conclusion： The application value of SYNTAX score Ⅱ in the patients with AMI who were treated with primary PCI is higher, so the evaluation standards has active clinical applica- tion significance in the patients.

关 键 词：SYNTAX scoreⅡ积分 急性心肌梗死 直接PCI 应用价值 

分 类 号：R542.22[医药卫生—心血管疾病]