血栓抽吸联合替罗非班对急性ST段抬高型心肌梗死急诊冠脉介入治疗的效果分析  

Analysis of the Effect of Thrombus Aspiration Combined with Tirofiban on Emergency Coronary Intervention for Acute ST-segment Elevation Myocardial Infarction

作　　者：王晶[1] WANG Jing(Department of Cardiovascular,Hohhot First Hospital,Hohhot,Inner Mongolia Autonomous Region,010000,China)

机构地区：[1]呼和浩特市第一医院心血管内科,内蒙古呼和浩特010000

出　　处：《中外医疗》2024年第30期41-45,共5页China & Foreign Medical Treatment

摘　　要：目的 探究对急性ST段抬高型心肌梗死急诊冠脉介入治疗患者施以血栓抽吸联合替罗非班的作用。方法 方便选取2021年1月—2023年8月呼和浩特市第一医院收治的72例急性ST段抬高型心肌梗死行急诊冠脉介入治疗的患者作为研究对象,根据不同治疗方法将其分为两组,各36例。对照组采用替罗非班治疗,研究组血栓抽吸联合替罗非班治疗,比较两组心功能相关指标、治疗效果、不良反应、远期非致死性心肌梗死发生率、心源性病死率。结果 研究组心功能改善优于对照组,远期非致死性心肌梗死发生率和心源性病死率低于对照组,差异有统计学意义(P均<0.05)。研究组不良反应发生率为8.33%(3/36),低于对照组的27.78%(10/36),差异有统计学意义(χ^(2)=4.600,P<0.05)。结论 在急性ST段抬高型心肌梗死急诊冠脉介入治疗时,对患者进行血栓抽吸联合替罗非班治疗,效果显著,具有临床价值。Objective To explore the effect of thrombus aspiration combined with tirofiban on patients with acute ST-segment elevation myocardial infarction undergoing emergency coronary intervention.Methods From January 2021 to August 2023,72 patients with acute ST-segment elevation myocardial infarction who underwent emergency coronary intervention in the Hohhot First Hospital were conveniently selected as the research objects.According to different treatment methods,they were divided into two groups,36 cases in each group.The control group was treated with tiro⁃fiban,and the study group was treated with thrombus aspiration combined with tirofiban.The cardiac function related indexes,therapeutic effect,adverse reactions,incidence of long-term non-fatal myocardial infarction and cardiogenic mortality were compared between the two groups.Results The improvement of cardiac function in the study group was better than that in the control group,and the incidence of long-term non-fatal myocardial infarction and cardiogenic mortality were lower than those in the control group,the differences were statistically significant(all P<0.05).The inci⁃dence of adverse reactions in the study group was 8.33%(3/36),which was lower than 27.78%(10/36)in the control group,and the difference was statistically significant(χ^(2)=4.600,P<0.05).Conclusion In the emergency coronary inter⁃vention treatment of acute ST-segment elevation myocardial infarction,thrombus aspiration combined with tirofiban can achieve significant results and clinical value in patients.

关 键 词：急性ST段抬高型心肌梗死 急诊冠脉介入 心功能 不良反应 治疗效果 替罗非班 血栓抽吸 

分 类 号：R542.22[医药卫生—心血管疾病]