IABP在急性心肌梗死患者急诊PCI中的疗效观察  

Efficacy observation of IABP in emergency PCI in patients with acute myocardial infarction

作　　者：李丽梅[1] 李成玉 LI Li-mei;LI Cheng-yu(Geriatric Department,Weifang Anqiu Traditional Chinese Medicine Hospital,Weifang 262100,China)

机构地区：[1]山东省潍坊市安丘市中医院老年病科,262100

出　　处：《中国实用医药》2023年第22期42-45,共4页China Practical Medicine

摘　　要：目的观察主动脉球囊反搏术(IABP)在急性心肌梗死患者急诊经皮冠状动脉介入治疗(PCI)中的疗效。方法60例急性心肌梗死患者,随机分为单独治疗组和支持治疗组,每组30例。两组治疗前均给予吸氧、强心、利尿、镇痛、镇静及并发症处理等常规辅助治疗,单独治疗组患者接受单独急诊PCI,支持治疗组患者接受IABP支持下行急诊PCI。比较两组患者治疗前后的心率、收缩压、舒张压水平以及手术成功、死亡、并发症发生情况。结果治疗前,支持治疗组心率为(80.2±21.3)次/min,收缩压为(131.2±12.5)mm Hg(1 mm Hg=0.133 kPa),舒张压为(62.3±19.4)mm Hg,单独治疗组心率为(78.2±17.6)次/min,收缩压为(130.5±13.5)mm Hg,舒张压为(63.5±17.2)mm Hg;治疗后,支持治疗组心率为(81.2±11.2)次/min,收缩压为(129.3±10.4)mm Hg,舒张压为(67.5±18.2)mm Hg,单独治疗组心率为(98.2±21.5)次/min,收缩压为(102.5±8.6)mm Hg,舒张压为(47.1±12.6)mm Hg。治疗前,两组患者心率、收缩压、舒张压比较,差异无统计学意义(P>0.05)。治疗后,支持治疗组心率、收缩压、舒张压水平与治疗前比较,差异无统计学意义(P>0.05);单独治疗组心率高于治疗前,收缩压、舒张压低于治疗前,差异具有统计学意义(P<0.05)。支持治疗组手术成功率100.0%高于单独治疗组的86.7%,死亡率0低于单独治疗组的13.3%,差异具有统计学意义(P<0.05)。支持治疗组中心律失常发生率0、低血压发生率3.3%、消化道出血发生率0、颅内出血发生率0、酸碱平衡失调发生率0均低于单独治疗组的16.7%、20.0%、13.3%、13.3%、13.3%,差异具有统计学意义(P<0.05)。结论IABP应用于急性心肌梗死患者急诊PCI中的疗效好,具有重要临床意义,能够有效促进患者心功能恢复,进一步提高临床疗效,值得在临床推广应用。Objective To observe the efficacy of intra-aortic balloon pump(IABP)in emergency percutaneous coronary intervention(PCI)in patients with acute myocardial infarction.Methods A total of 60 patients with acute myocardial infarction were randomly divided into a single treatment group and a supportive treatment group,with 30 cases in each group.Before treatment,both groups were given routine adjuvant therapy such as oxygen inhalation,cardiotonic,diuretic,analgesia,sedation and complication management.Patients in the single treatment group received single emergency PCI,while patients in the supportive treatment group received emergency PCI supported by IABP.The heart rate,systolic blood pressure and diastolic blood pressure before and after treatment,surgical success,mortality and complications were compared between the two groups.Results Before treatment,the heart rate,systolic blood pressure and diastolic blood pressure in the supportive treatment group were(80.2±21.3)beats/min,(131.2±12.5)mm Hg(1 mm Hg=0.133 kPa)and(62.3±19.4)mm Hg,and those in the single treatment group were(78.2±17.6)beats/min,(130.5±13.5)mm Hg and(63.5±17.2)mm Hg.After treatment,the heart rate,systolic blood pressure and diastolic blood pressure in the supportive treatment group were(81.2±11.2)beats/min,(129.3±10.4)mm Hg and(67.5±18.2)mm Hg,and those in the single treatment group were(98.2±21.5)beats/min,(102.5±8.6)mm Hg and(47.1±12.6)mm Hg.Before treatment,there was no statistically significant difference in heart rate,systolic blood pressure and diastolic blood pressure between the two groups(P>0.05).In the supportive treatment group,there was no statistically significant difference in heart rate,systolic blood pressure and diastolic blood pressure after treatment compared with those before treatment in this group(P>0.05).The heart rate in single treatment group was higher than that before treatment in this group;the systolic blood pressure and diastolic blood pressure were lower than those before treatment in this group;the differe

关 键 词：主动脉球囊反搏术 急性心肌梗死 经皮冠状动脉介入治疗 

分 类 号：R542.22[医药卫生—心血管疾病]