血栓抽吸优化急性ST段抬高心肌梗死患者支架置入  

Stent implantation in patients with acute ST segment elevation myocardial infarction optimized by thrombus aspiration

作　　者：唐泉[1] 银剑斌[1] 吴刚[1] 谢小丹 

机构地区：[1]柳州市人民医院心内科,广西柳州545006

出　　处：《中西医结合心血管病电子杂志》2017年第36期15-16,共2页Cardiovascular Disease Electronic Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的探讨血栓抽吸对急性ST段抬高心肌梗死(STEMI)患者支架置入的影响。方法分析2011年1月至2016年6月在我院行直接经皮冠状动脉介入治疗(PPCI)1026例STEMI患者。根据术中血栓抽吸的应用,将患者分为血栓抽吸组和传统PPCI组,比较两组患者置入支架的数量、直径和长度。结果与传统PPCI组(n=557)相比,血栓抽吸组(n=469)置入支架数量少(1.2±0.4枚vs.1.3±0.5枚),直径大(3.36±0.41 mm vs.3.02±0.38 mm)和长度短(29±15 mm vs 34±16 mm)(P<0.05)。结论血栓抽吸可减少STEMI患者支架的置入,利于置入直径大、长度短的支架。Objective To investigate the effect of thrombus aspiration on stent placement in patients with acute ST segment elevation myocardial infarction(STEMI).Methods From January 2011 to June 2016,1026 patients with STEMI were treated with direct percutaneous coronary intervention(PPCI) in our hospital. According to the application of intraoperative thrombus aspiration, the patients were divided into thrombus aspiration group and traditional PPCI group. The number, diameter and length of the stent were compared between the two groups.Results Compared with the traditional PPCI group(n=557),the number of stent implantation in the thrombus aspiration group(n=469) was less(1.2±0.4 vs.1.3±0.5), and the diameter was large(3.36±0.41 mm vs 3.02±0.38 mm) and the length was shorter(29±15 mmvs.34±16 mm).Conclusion Thrombus aspiration can reduce the placement of the stent in STEMI patients, which is beneficial to the stent with large diameter and short length.

关 键 词：血栓抽吸 直接经皮冠状动脉介入治疗 支架 

分 类 号：R542.2[医药卫生—心血管疾病]