在不同时间段对接受PCI治疗的STEMI患者进行血栓抽吸的效果对比  

Comparison of the effect of thrombus aspiration in STEMI patients undergoing PCI at different time periods

作　　者：刘露 LIU Lu(Mianyang Central Hospital,Mianyang 621099,Sichuan,China)

机构地区：[1]绵阳市中心医院,四川绵阳621099

出　　处：《当代医药论丛》2022年第14期68-70,共3页

摘　　要：目的:比较在不同时间段对接受经皮冠状动脉介入(PCI)治疗的急性ST段抬高型心肌梗死(STEMI)患者进行血栓抽吸的临床效果。方法:选取2020年4月至2021年6月绵阳市中心医院接诊的120例STEMI患者,根据治疗方法的不同将其分为抽吸组和常规组。为抽吸组60例患者采用血栓抽吸术+PCI术进行治疗,为常规组60例患者采用常规PCI术进行治疗。根据发病至导丝通过犯罪血管的时间将抽吸组患者分为抽吸1组(≤6 h)、抽吸2组(>6 h且≤12 h)、抽吸3组(>12 h且≤24 h),每组各20例患者。根据发病至导丝通过犯罪血管的时间将常规组患者分为常规1组(≤6 h)、常规2组(>6 h且≤12 h)、常规3组(>12 h且≤24 h),每组各20例患者。然后对比各组患者的治疗效果。结果:抽吸组患者的TIMI血流分级、ST段回落情况、LVEF均明显优于常规组患者,差异有统计学意义(P<0.05)。抽吸2组患者的TIMI血流分级、ST段回落情况、LVEF均明显优于常规2组患者,差异有统计学意义(P<0.05)。抽吸3组患者的TIMI血流分级、ST段回落情况、LVEF均明显优于常规3组患者,差异有统计学意义(P<0.05)。抽吸1组患者与常规1组患者的各项术后指标相比,差异无统计学意义(P>0.05)。结论:在对STEMI患者进行PCI术的过程中对其实施血栓抽吸的效果较好,可有效改善其心肌灌注及心功能。该治疗措施对心肌缺血时间较长患者心肌灌注及心功能的改善效果更为明显。Objective:To compare the clinical effects of thrombus aspiration in patients with acute ST-segment elevation myocardial infarction(STEMI)who received percutaneous coronary intervention(PCI)in different time periods.Methods:A total of 120 STEMI patients admitted to Mianyang Central Hospital from April 2020 to June 2021 were selected and divided into suction group and routine group according to different treatment methods.60 patients in the aspiration group were treated with thrombus aspiration+PCI,and 60 patients in the conventional group were treated with conventional PCI.Patients in the aspiration group were divided into aspiration group 1(≤6 h),aspiration group 2(>6 h≤12 h)and aspiration group 3(>12 h≤24 h)according to the time from onset to guide wire passing through criminal vessels,with 20 patients in each group.Patients in the routine group were divided into routine group 1(≤6 h),routine group 2(>6 h≤12 h)and routine group 3(>12 h≤24 h)according to the time from onset to guide wire passing through criminal vessels,with 20 patients in each group.Then the therapeutic effect of each group was compared.Results:TIMI blood flow grading,ST segment regression and LVEF of patients in the aspiration group were significantly better than those in the conventional group,with statistical significance(P<0.05).TIMI blood flow grading,ST segment regression and LVEF in the 2 groups were significantly better than those in the conventional 2 groups,with statistical significance(P<0.05).TIMI blood flow grading,ST segment regression and LVEF in the 3 groups were significantly better than those in the conventional 3 groups,with statistical significance(P<0.05).There were no statistically significant differences in postoperative indicators between patients in suction group 1 and those in routine group 1(P>0.05).Conclusions:Thrombus aspiration is effective in STEMI patients undergoing PCI,which can effectively improve myocardial perfusion and cardiac function.The improvement of myocardial perfusion and cardiac function

关 键 词：心肌梗死 血栓抽吸 不同时间段 

分 类 号：R542.22[医药卫生—心血管疾病]