中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2008年
4期
338-340
,共3页
王喆%钱伟莉%杨新春%陈瑾%王树严
王喆%錢偉莉%楊新春%陳瑾%王樹嚴
왕철%전위리%양신춘%진근%왕수엄
急性心肌梗死%再灌注心律失常%左心室重构
急性心肌梗死%再灌註心律失常%左心室重構
급성심기경사%재관주심률실상%좌심실중구
Acute myocardial infarction%Reperfusion arrhythmia%Left ventricular reconstruction
目的 探讨急性心肌梗死患者再灌注心律失常和左心室功能的关系.方法 150例经急诊再灌注治疗的急性心肌梗死患者,分为再灌注心律失常组(RA组,n=52);24 h内出现再灌注心律失常和非再灌注心律失常组(Non-RA组,n=98).于1周、6个月和1年做心脏彩超,检测左心室射血分数(LVEF)和左心室舒张末期内径(LVEDD).结果 ①RA组血管开通时间较Non-RA组晚,且前降支病变较Non-RA组发生率高(P＜0.05);②急性心肌梗死再灌注治疗成功后1周RA组与Non-RA组比较LVEF和LVEDD无统计学意义[(LVEF:(47.7±9.6)%、(49.2±8.7)%,P＞0.05;LVEDD:(59.8±10.3)mm与(58.8±12.3)mm,P＞0.05)];急性心肌梗死再灌注治疗成功1年后,Non-RA组LVEF明显高于自身急性期和RA组[(59.3±9.3)%与(49.2±8.7)%与(49.9±10.1)%,P＜0.05],LVEDD虽然无统计学意义(P＞0.05),但有增加趋势.结论 心肌缺血严重患者易发生再灌注心律失常,影响左心室功能的恢复,促进心室重塑.
目的 探討急性心肌梗死患者再灌註心律失常和左心室功能的關繫.方法 150例經急診再灌註治療的急性心肌梗死患者,分為再灌註心律失常組(RA組,n=52);24 h內齣現再灌註心律失常和非再灌註心律失常組(Non-RA組,n=98).于1週、6箇月和1年做心髒綵超,檢測左心室射血分數(LVEF)和左心室舒張末期內徑(LVEDD).結果 ①RA組血管開通時間較Non-RA組晚,且前降支病變較Non-RA組髮生率高(P＜0.05);②急性心肌梗死再灌註治療成功後1週RA組與Non-RA組比較LVEF和LVEDD無統計學意義[(LVEF:(47.7±9.6)%、(49.2±8.7)%,P＞0.05;LVEDD:(59.8±10.3)mm與(58.8±12.3)mm,P＞0.05)];急性心肌梗死再灌註治療成功1年後,Non-RA組LVEF明顯高于自身急性期和RA組[(59.3±9.3)%與(49.2±8.7)%與(49.9±10.1)%,P＜0.05],LVEDD雖然無統計學意義(P＞0.05),但有增加趨勢.結論 心肌缺血嚴重患者易髮生再灌註心律失常,影響左心室功能的恢複,促進心室重塑.
목적 탐토급성심기경사환자재관주심률실상화좌심실공능적관계.방법 150례경급진재관주치료적급성심기경사환자,분위재관주심률실상조(RA조,n=52);24 h내출현재관주심률실상화비재관주심률실상조(Non-RA조,n=98).우1주、6개월화1년주심장채초,검측좌심실사혈분수(LVEF)화좌심실서장말기내경(LVEDD).결과 ①RA조혈관개통시간교Non-RA조만,차전강지병변교Non-RA조발생솔고(P＜0.05);②급성심기경사재관주치료성공후1주RA조여Non-RA조비교LVEF화LVEDD무통계학의의[(LVEF:(47.7±9.6)%、(49.2±8.7)%,P＞0.05;LVEDD:(59.8±10.3)mm여(58.8±12.3)mm,P＞0.05)];급성심기경사재관주치료성공1년후,Non-RA조LVEF명현고우자신급성기화RA조[(59.3±9.3)%여(49.2±8.7)%여(49.9±10.1)%,P＜0.05],LVEDD수연무통계학의의(P＞0.05),단유증가추세.결론 심기결혈엄중환자역발생재관주심률실상,영향좌심실공능적회복,촉진심실중소.
Objective To study the relationship between reperfusion arrhytlunia and left ventricular reconstruction of acute myocardial infarction(AMI).Methods 150 AMI cases undergone emergent reperfusion treatment were divided into reperfusion arrhythmia group(BA group,n=52)and non-reperfusion arrhythmia group(Non-RA group,n=98).The heart color B-ultrasound wag carried out at the periods of 1 week,6 months and 1 year for detecting left ventricular ejection fraction(LVEF)and left ventricular end diastolic diameter(LVEDD).Results The time for reopening of blood vessel of BA group war later than in Non-RA group,whose incidence of anterior descending branch lesion was higher than that of Non-BA group(P＜ 0.05).1 week after successful reperfusion treatment,there was no significant difference in LVEF and LVEDD between RA group and Non-RA group[(47.7±9.6)%and (49.2±8.7)%,P＞0.05;(59.8±10.3)mm and(58.8±12.3)mm,P＞0.05];A year later after successful reperfusion treatment,LVEF in Non-HA group was remarkably higher than that in acute stage and RA group [(59.3±9.3)%,(49.2±8.7)% and (49.9±10.1)%,P＜0.05],but there was no difference in LVEDD(P＞0.05)with a tendency of increasing.Conclusion The severe ischemic patients are easy to develop reperfusion arrhythmia,which influences the recovery of left ventricular function and improve the left ventricular reconstrucion.
