Effect of 6 hydroxyethyl starch and equilibrium liquid on serum and hemorheology indexes in acute myocardialinfarction complicated with shock patients received emergency treatment

摘要

Objective:To study the effect of 6% hydroxyethyl starch and equilibrium liquid on serum and hemorheology indexes in patients with acute myocardialinfarction complicated with shock who underwent emergency treatment.Methods:60 patients with acute myocardialinfarction complicated with shock received emergency treatment in our hospital were enrolled and randomly divided into two groups according to types of infused liquid. Observation group was treated with 6% hydroxyethylstarch, control group was treated with equilibrium liquid. Then hemorheology indexes, blood coagulation indexes and serum index were compared.Results:(1) Hemorheology: whole blood high shear viscosity, whole blood low shear viscosity, plasma viscosity and erythrocyte aggregation index of observation group were lower than those of control group; (2) coagulation function: R value and K value of observation group were higher than those of control group; MA value and G value were lower than those of control group; (3) serological index: MDA, CK-MB, hs-cTnT content of observation group were lower than those of control group.Conclusion: 6% hydroxyethyl starch is helpful to reduce blood viscosity and erythrocyte aggregation, improve hypercoagulable state, reduce oxidative damage of myocardial cells; it’s an ideal liquid type in treating acute myocardial infarction complicated with shock.