临时起搏器在AIMI患者急诊PCI治疗中的应用效果  

Application effect of temporary pacemaker in emergency PCI treatment in AIMI patients

作　　者：郑国燕 傅宴 王茹 赵榆华 李三潭 贾国良 揭英纯 ZHENG Guo-yan;FU Yan;WANG Ru;ZHAO Yu-hua;LI San-tan;JIA Guo-liang;JIE Ying-chun(Cardiovascular Center,Dongguan Kanghua Hospital,Dongguan,Guangdong,523080,China)

机构地区：[1]东莞康华医院心血管中心,广东东莞523080

出　　处：《心血管康复医学杂志》2022年第2期193-196,共4页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:研究临时起搏器在急性下壁心肌梗死(AIMI)患者急诊经皮冠状动脉介入治疗(PCI)中的应用效果。方法:于我院行急诊PCI术的90例AIMI患者被随机均分为起搏组(术前植入临时起搏器)和非起搏组(未植入临时起搏器)。观察比较两组一般临床资料,术前、术中及术后基本情况,术前术后心率、收缩压、舒张压,术后LVEF及住院时间。结果:两组一般临床资料,术前、术中及术后基本情况无显著差异(P均>0.05)。与术前比较,术后两组舒张压均显著升高(P均=0.001)。与非起搏组比较,术后,起搏组心率[(85.20±9.06)次/min比(79.53±11.01)次/min]、收缩压[(123.51±27.79)mmHg比(113.04±15.42)mmHg]、LVEF[(59.53±8.55)%比(55.11±7.66)%]均显著减低,住院时间[(7.98±2.59)d比(9.89±5.45)d]显著延长(P<0.05或<0.01)。结论:临时起搏器在治疗在急性下壁心肌梗死患者急诊PCI治疗中并无理想的应用效果。Objective:To study application effect of temporary pacemaker in emergency percutaneous coronary intervention(PCI)treatment in patients with acute inferior myocardial infarction(AIMI).Methods:A total of 90 AIMI patients undergoing emergency PCI in our hospital were randomly and equally divided into pacing group(implanted with temporary pacemakers before PCI)and non-pacing group(without temporary pacemaker implantation).General clinical data,preoperative,intraoperative and postoperative basic conditions,preoperative and postoperative heart rate,systolic blood pressure(SBP),diastolic blood pressure(DBP),postoperative LVEF and hospital stay were observed and compared between two groups.Results:There were no significant difference in general clinical data,preoperative,intraoperative and postoperative basic conditions between two groups(P>0.05 all).Compared with before PCI,after PCI,there was significant rise in DBP in two groups(P=0.001 all).Compared with non-pacing group after PCI,there were significant reductions in heart rate[(85.20±9.06)beats/min vs.(79.53±11.01)beats/min],SBP[(123.51±27.79)mmHg vs.(113.04±15.42)mmHg]and LVEF[(59.53±8.55)%vs.(55.11±7.66)%],and significant rise in hospital stay[(7.98±2.59)d vs.(9.89±5.45)d]in pacing group(P<0.05 or<0.01).Conclusion:Temporary pacemaker possesses no ideal application effect in emergency PCI in patients with acute inferior myocardial infarction.

关 键 词：下壁心肌梗死 心脏起搏器 人工 血管成形术 气囊 冠状动脉 

分 类 号：R542.22[医药卫生—心血管疾病]