预防性置入IABP对急性心梗心源性休克行急诊介入无复流发生的影响

发布时间：2018-03-26 13:12

本文选题：心源性休克　切入点：主动脉内球囊反搏　出处：《医学与哲学(B)》2017年12期

【摘要】：探讨预防性置入主动脉内球囊反搏(IABP)对急性ST段抬高型心肌梗死(STEMI)并发心源性休克(CS)者行直接经皮冠状动脉介入治疗(PPCI)术中无复流发生的影响。回顾性分析2015年2月~2017年2月郑州大学第一附属医院心血管内科重症监护室(CCU)收治的80例STEMI并发CS行PPCI者,根据术前是否置入IABP分为IABP组(n=48)和非IABP组(n=32)。分析比较两组患者PPCI术中无复流和术后院内主要不良心血管事件(MACE)的发生率。与非IABP组相比,IABP组术中无复流的发生率(10.4%vs.28.1%)和术后院内MACE事件的发生率(37.5%vs.65.6%)均显著降低,差异有统计学意义(P0.05)。STEMI并发CS者行PPCI,预防性置入IABP可较少PPCI术中无复流和术后院内MACE事件的发生。
[Abstract]:Objective: to investigate the effect of IABP) on the occurrence of no reflow during direct percutaneous coronary intervention (PPCI) in patients with acute ST-segment elevation myocardial infarction (STEMI) complicated with cardiogenic shock (CSC). A retrospective analysis was made on the incidence of no reflow during the operation of PPCI in patients with acute ST-segment elevation myocardial infarction (STEMI). From February to February 2017, 80 patients with STEMI complicated with CS received PPCI in intensive care unit of Department of Cardiovascular Medicine, first affiliated Hospital of Zhengzhou University. According to whether or not IABP was implanted before operation, the patients were divided into IABP group (n = 48) and non-#en2# group (n = 32). The incidence of no reflow in PPCI and major adverse cardiovascular events in hospital were compared between two groups. The incidence of no reflow in PPCI group was compared with that in non-#en4# group. The incidence of MACE events in the hospital and in the hospital after operation was significantly lower than that in the control group (10.4 vs 28.1) and the incidence of MACE events in the hospital after operation (37.5vs.65.6b). The difference was statistically significant in the patients with CS complicated by P0.05. STEMI. The preventive implantation of IABP could reduce the incidence of reflow and MACE events in the hospital after PPCI.
【作者单位】：郑州大学第一附属医院心内科;
【基金】：2015年河南省高等学校重点科研项目(15A320029)
【分类号】：R542.22

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