急诊冠状动脉介入术中选择性应用抽吸导管临床疗效分析

摘要

目的 探讨急性心肌梗死(AMI)患者行冠状动脉介入(PCI)治疗中根据血栓负荷轻重选择性应用血栓抽吸导管的临床疗效.方法 AMI行PCI治疗患者126例,其中术中选择性应用血栓抽吸导管47例,未应用血栓抽吸导管79例,比较两组患者术后TIMI血流改善率、ST段回落率、左室射血分数(LVEF)及心脏不良事件发生率.结果 两组患者术后TIMI血流改善率、ST段回落率、LVEF、心脏不良事件发生率均无明显差异(均P＞0.05).结论 PCI术中选择性应用血栓抽吸导管治疗AMI患者疗效确切安全可行,可在临床推广应用.%Objective To investigate the clinical effect of the application of selective thrombus aspiration catheter on the patients with acute myocardial infarction(AMI) according to the thrombus. Methods 126 cases of acute myocardi-al infarction patients undergoing PCI were divided into the selective group (n = 47,given the selective thrombus aspira-tion)and non-selective group(n=79,given the non-selective thrombus aspiration). The improvement rate of TIMI hemo-dynamics.the rate of ST segment depression. LVEF, the rate of adverse cardiac events were compared between the two groups. Result The improvement rate of TIMI hemodynamics.the rate of ST segment depression,LVEF, the rate of adverse cardiac events have no significant differences between two groups(P＞0. 05). Conclusion The slective thrombus aspiration catheter is an effective and safe method for treating acute myocardial infarction.