中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2010年
6期
464-466
,共3页
心肌梗死%血管成形术,经腔,经皮冠状动脉%心脏功能试验
心肌梗死%血管成形術,經腔,經皮冠狀動脈%心髒功能試驗
심기경사%혈관성형술,경강,경피관상동맥%심장공능시험
Myocardial infarction%Angioplasty,transluminal,percutaneous coronary%Heart function tests
目的 评估ZEEK血栓抽吸导管在老年人急性心肌梗死患者治疗中的应用.方法 将94例行急诊介入治疗的老年急性ST抬高心肌梗死患者分为两组,其中使用ZEEK血栓抽吸导管52例(抽吸组),未使用ZEEK血栓抽吸导管42例(对照组).观察无复流发生率、术后ST段下降率、住院病死率及左心室射血分数等.结果 ZEEK组1例(1.9%)发生无复流,住院期间无死亡;对照组中5例(11.9%)发生无复流,死亡2例(4.8%).两组患者的无复流发生率、ST段下降率、住院病死率及心功能差异有统计学意义(均P＜0.05).结论 老年人急性心肌梗死在急诊介入治疗中,应用ZEEK血栓抽吸导管安全可行,可清除冠状动脉内血栓,改善心肌组织灌注,有可能改善术后心脏功能.
目的 評估ZEEK血栓抽吸導管在老年人急性心肌梗死患者治療中的應用.方法 將94例行急診介入治療的老年急性ST抬高心肌梗死患者分為兩組,其中使用ZEEK血栓抽吸導管52例(抽吸組),未使用ZEEK血栓抽吸導管42例(對照組).觀察無複流髮生率、術後ST段下降率、住院病死率及左心室射血分數等.結果 ZEEK組1例(1.9%)髮生無複流,住院期間無死亡;對照組中5例(11.9%)髮生無複流,死亡2例(4.8%).兩組患者的無複流髮生率、ST段下降率、住院病死率及心功能差異有統計學意義(均P＜0.05).結論 老年人急性心肌梗死在急診介入治療中,應用ZEEK血栓抽吸導管安全可行,可清除冠狀動脈內血栓,改善心肌組織灌註,有可能改善術後心髒功能.
목적 평고ZEEK혈전추흡도관재노년인급성심기경사환자치료중적응용.방법 장94례행급진개입치료적노년급성ST태고심기경사환자분위량조,기중사용ZEEK혈전추흡도관52례(추흡조),미사용ZEEK혈전추흡도관42례(대조조).관찰무복류발생솔、술후ST단하강솔、주원병사솔급좌심실사혈분수등.결과 ZEEK조1례(1.9%)발생무복류,주원기간무사망;대조조중5례(11.9%)발생무복류,사망2례(4.8%).량조환자적무복류발생솔、ST단하강솔、주원병사솔급심공능차이유통계학의의(균P＜0.05).결론 노년인급성심기경사재급진개입치료중,응용ZEEK혈전추흡도관안전가행,가청제관상동맥내혈전,개선심기조직관주,유가능개선술후심장공능.
Objective To evaluate the application of ZEEK thrombus aspiration catheter in treatment of acute myocardial infarction (AMI) in elderly patients. Methods The 52 patients with ST-elevation myocardial infarction(STEMI)were treated with percutaneous coronary intervention (PCI) plus thrombus aspiration by using ZEEK thrombus aspiration catheter (ZEEK group), and 42 STEMI patients were treated only with PCI (control group). The regression rate of ST segment, left ventricular ejection fraction (LVEF), incidence of no-reflow and mortality were followed up after PCI during hospitalization. Results No-reflow occurred in 5 (11.9%) patients and 1 (1.9 %) patient in the control group and ZEEK group, respectively. And 2 deaths were encountered only in the control group. The differences between the two groups were statistically significant (P＜0.05).Conclusions AMI treatments with PCI and application of ZEEK aspiration thrombus catheter are safe and effective. The two methods could lower thrombosis burden, may improve distal myocardium perfusion and cardiac function after the procedure.
