急性冠脉综合征PCI术中体外反搏的疗效观察  

The curative effect and safety of the external counterpulsation device used in PCI

作　　者：吴宇红[1] 莫兹清 任强[1] 林如明[1] 孙刚[1] 张高星[1] Wu yuhong;Mo ziqing;Ren qiang;Lin ruming;Sun gang;Zhang gaoxing(Department of Cardiology,Jiangmen Central Hospital of Guangdong Province,Jaingmen,529030,China)

机构地区：[1]江门市中心医院,529030

出　　处：《临床心电学杂志》2018年第2期105-108,共4页Journal of Clinical Electrocardiology

摘　　要：目的观察体外反搏装置应用于急性冠脉综合征PCI术中的即时疗效并评价其安全性。方法对60例急性冠脉综合征患者在PCI术中行增强型体外反搏30min,比较体外反搏前后主动脉收缩压、主动脉舒张压、平均主动脉压、桡动脉收缩压、桡动脉舒张压、平均桡动脉压和心率的变化,并观察相关不良事件。结果增强型体外反搏使主动脉舒张压、平均主动脉压、桡动脉舒张压、平均桡动脉压升高,心率减慢,主动脉收缩压、桡动脉收缩压无明显影响。噪音影响1例,心律失常1例,心衰1例。无出血、皮肤坏死、护理不便。结论增强型体外反搏治疗可改善急性冠脉综合征患者冠状动脉供血,不良反应发生率低。Objective To evaluate the curative effect and safety of the external counterpulsation device used in PCI. Methods 60 patients with acute coronary syndrome accepted enhanced external counterpulsation for a half hours in PCI operation. The aortic systolic pressure, aortic diastolic pressure, mean aortic pressure, radial artery systolic pressure, radial artery diastolic, mean radial artery pressure and heart rate were campared before and after EECP and related adverse events were recorded. Results The aortic diastolic pressure, mean aortic diastolic pressure, radial artery diastolic pressure, mean radial arterial pressure were increased and the heart rate were decreased in patients accepted EECP, while the aortic systolic pressure and radial arter pressure had no significant difference compared with control group. Noise disturbance was reported in 1 case and arrhythmia was reported in another case. None of events such as hemorrhage, deterioration of heart failure, skin necrosis or nursing inconvenient were observed.Conclusion Enhanced external counterpulsation can improve aortic blood flow in patients with acute coronary syndrome, and the adverse effects were lower and mild.

关 键 词：急性冠脉综合征 体外反搏 经皮冠状动脉介入治疗 

分 类 号：R541.7[医药卫生—心血管疾病] R540.41[医药卫生—内科学]