早期主动脉内球囊反搏在急性心肌梗死并发室间隔破裂中的应用  

Application of early intra-aortic balloon counterpulsation in acute myocardial infarction complicated with ventricular septal rupture

作　　者：苏航 SU Hang(EICU,Zhongshan Hospital Affiliated to Dalian University,Liaoning Province,Dalian 116001,China)

机构地区：[1]大连大学附属中山医院EICU,辽宁大连116001

出　　处：《中国当代医药》2020年第14期68-71,共4页China Modern Medicine

摘　　要：目的探讨早期主动脉内球囊反搏在急性心肌梗死并发室间隔破裂中的临床应用价值。方法选取2017年1月~2019年7月我院收治的40例急性心肌梗死并发室间隔破裂患者作为研究对象,按照是否同意实施主动脉内球囊反搏术为标准,将患者分为观察组(20例)与对照组(20例)。对照组患者实施常规内科治疗,观察组患者则在常规治疗基础上应用实施主动脉内球囊反搏术。比较两组患者使用升压药持续时间和住院时间;比较两组患者治疗前后的左室射血分数及B型利钠肽水平;统计两组患者的救治结果。结果观察组患者使用升压药持续时间和住院时间均短于对照组,差异有统计学意义(P<0.05)。治疗后,观察组患者的左室射血分数高于本组治疗前及对照组,差异有统计学意义(P<0.05)。治疗后,观察组患者的B型利钠肽水平低于本组治疗前及对照组,差异有统计学意义(P<0.05)。观察组患者治疗后的存活顺利出院比例高于对照组,差异有统计学意义(P<0.05)。观察组患者治疗后的死亡或放弃治疗的比例低于对照组,差异有统计学意义(P<0.05)。结论针对急性心肌梗死合并室间隔破裂,在常规治疗基础上应用主动脉内球囊反搏术,能更好的维持循环功能稳定,提高心功能,缩短住院时间,降低死亡率。Objective To investigate the clinical value of early intra-aortic balloon counterpulsation in acute myocardial infarction complicated with ventricular septal rupture.Methods A total of 40 cases with acute myocardial infarction complicated of ventricular septal rupture admitted in our hospital from January 2017 to July 2019 were selected as subjects and divided into observation group(20 cases)and control group(20 cases)according to whether they agreed to implement intra-aortic balloon counterpulsation or not.The control group was underwent routine medical treatment.The observation group was applied intra-aortic balloon counterpulsation on the basis of conventional treatment.Then the duration of the booster drug and hospital stay were compared between the two groups.The left ventricular ejection fraction and B-type natriuretic peptide levels were compared before and after the treatment.The treatment results in two group were statisticed.Results The duration of the booster drug and hospital stay in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).After treatment,the left ventricular ejection fraction of the observation group was higher than that before treatment and the control group,and the difference was statistically significant(P<0.05).After treatment,the level of B-type natriuretic peptide in the observation group was lower than that before treatment and the control group,and the difference was statistically significant(P<0.05).The survival rate of patients in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The proportion of patients who died or gave up treatment after treatment in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion For the treatment of acute myocardial infarction with ventricular septal rupture,the application of intra-aortic balloon counterpulsation on the basis of conven

关 键 词：主动脉内球囊反搏 早期 急性 心肌梗死 室间隔破裂 并发症 

分 类 号：R542.2[医药卫生—心血管疾病]