急性非Q波型心肌梗死的介入治疗  

Percutaneous coronary interventions for acute non-Q-wave myocardial infarction

作　　者：赵燕[1] 张宏[1] 庞明杰[1] 兰炳炎[1] 

机构地区：[1]云南省第一人民医院心内科,云南昆明650000

出　　处：《云南医药》2004年第2期90-92,共3页Medicine and Pharmacy of Yunnan

摘　　要：目的　探讨冠状动脉内支架术治疗急性Q波型心肌梗死 (NQ -MI)的疗效和安全性。方法　选择2 5例有PTCA指征患者行PTCA及支架植入术治疗设同期住院的 30例NQMI患者为对照组 ,观察并比较两组患者住院期间及出院后 1年内总心血管事件的发生率 ,初步评价介入治疗的有效性及安全性。结果　 2 5例治疗在严重的冠脉病变、多支病变占 84 % ,病变以严重固定狭窄为主 ,手术成功率 96 % ,无严重并发症。治疗组 1年内总心血管事件较对照组明显减少 (P <0 0 5 )。结论　冠脉内支架植入术治疗NQMI疗效明显 ,且并发症少。Objective To assess the efficacy and safety of intracoronary stenting in acute phase of non-Q-wave myocardial infarction(NQMI).Methods 55 Patients were randomized to PCI group(n=25)and medicine treatment group(n=30).Coronary aniography,PTCA and intracoronary stenting were performed in 2-10days after admission in PCI group.In the latter group,patients were treated with ASA,heparin and clopidogrel.All cardiac events in the duration of hospital stay and one year's follow-up were observed.Results In PCI group,25 cases had multi-vessels lesions,serious stenosis occurred more commonly,the procedural success rate was 96% and no serious complication.During the hospitalization and follow-up period,the MACE was significantly lower in the PCI group than in medicine treatment group.Conclusion Coronary stent implantation is effective and safe in acute phase of NQMI.

关 键 词：急性心肌梗死 非Q波型 介入治疗 冠脉内支架植入 

分 类 号：R541.4[医药卫生—心血管疾病]