优化后适应在急诊PCI中的疗效观察  

Observation on the curative effect of optimized adaptation in emergency PCI

作　　者：朱东杰 黄绍丹 李春兰 方填源 李国诗 ZHU Dongjie;HUANG Shaodan;LI Chunlan;FANG Tianyuan;LI Guoshi(Department of Internal Medicine,Maoming Traditional Chinese Medicine Hospital,Guangdong,Maoming 525000,China)

机构地区：[1]广东省茂名市中医院内科,广东茂名525000

出　　处：《中国医药科学》2020年第13期238-240,共3页China Medicine And Pharmacy

基　　金：广东省茂名市科技计划项目(180307231702030)。

摘　　要：目的探讨优化后适应在急诊PCI中的疗效。方法选取2018年6月~2019年7月我院收治的100例行急诊PCI治疗的急性心肌梗死患者进行研究,按照随机数字表法分为对照组(n=50)与试验组(n=50),对照组施以常规球囊扩张立即恢复血流,试验组施以优化后适应处理,对患者血压低下、心率下降、恶性心律失常、无复流、心源性休克发生情况进行观察,并观察术后左室射血分数EF值、肌钙蛋白Ⅰ、BNP、住院时间情况。结果试验组的血压低下、心率下降、恶性心律失常、无复流、心源性休克发生率明显低于对照组,术后左室射血分数EF值保留,肌钙蛋白Ⅰ峰值与BNP相对无明显升高,且总住院天数明显少于对照组,差异有统计学意义(P<0.05)。结论优化后适应在急诊PCI中的应用具有显著效果。Objective To explore the effect of optimized adaptation in emergency percutaneous coronary intervention(PCI).Methods A total of 100 patients with acute myocardial infarction(AMI)who underwent emergency PCI treatment in our hospital from June 2018 to July 2019 were selected.They were divided into control group(n=50)and study group(n=50)using the random number table method.The control group was given conventional balloon dilation to immediately restore blood flow,and the study group was given optimized adaptation treatment.The patients’low blood pressure,decreased heart rate,malignant arrhythmia,no reflow,and cardiogenic shock were observed.And the left ventricular ejection fraction value(LVEF),cardiac troponin I(cTn-I),brain natriuretic peptide(BNP),and length of hospital stay were observed.Results The incidence of low blood pressure,decreased heart rate,malignant arrhythmia,no regurgitation,and cardiogenic shock in the study group were lower than those in the control group;The LVEF value was retained after operation,and cTn-I peak and BNP had no significant increase;The total length of hospital stay was significantly shorter than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of optimized adaptation in emergency PCI has significant effects.

关 键 词：优化后适应 急性心肌梗死 急诊PCI 恶性心律失常 左室射血分数EF值 

分 类 号：R542.2[医药卫生—心血管疾病]