心血管康复医学杂志
心血管康複醫學雜誌
심혈관강복의학잡지
JOURNAL OF CARDIOVASCULAR REHABILITATION MEDICINE
2014年
4期
446-449
,共4页
主动脉%心肌梗塞%血管成形术,经腔,经皮冠状动脉%心力衰竭,充血性
主動脈%心肌梗塞%血管成形術,經腔,經皮冠狀動脈%心力衰竭,充血性
주동맥%심기경새%혈관성형술,경강,경피관상동맥%심력쇠갈,충혈성
Aorta%Myocardial infarction%Angioplasty,transluminal,percutaneous coronary%Heart failure,con-gestive
目的:探讨主动脉球囊反搏(IABP)治疗急性心肌梗死(AMI)合并泵衰竭的效果。方法:回顾性分析我院2010年1月至2013年10月急诊经皮冠状动脉介入(PCI)治疗的82例 AMI 合并泵衰竭患者的临床资料,根据是否使用 IABP 辅助治疗分为两组:IABP 组(42例,在 IABP 辅助下行 PCI 治疗)和常规 PCI 组(40例,仅采用常规 PCI 治疗),比较两组患者治疗成功率,死亡率,血流动力学(收缩压、舒张压、心率)稳定至 PCI 时间,住院时间及并发症等情况。结果:与常规 PCI 组比较,IABP 组治疗后血压显著升高[收缩压:(80.3±16.2)mmHg比(88.4±12.5)mmHg,舒张压:(55.4±10.2)mmHg 比(60.0±10.5)mmHg],心率显著降低[(92.4±26.1)次/min 比(80.5±18.5)次/min],P 均<0.05;尿量显著增多[(30.2±8.3)ml/h 比(40.3±9.4)ml/h](P =0.001);IABP 组治疗成功率显著升高(72.5%比83.3%),死亡率显著降低(27.5%比16.7%),血流动力学稳定至 PCI 时间[(10.1±8.1)h 比(5.0±2.5)h]及住院时间[(18.4±6.2)d 比(13.5±4.2)d]均显著缩短(P均<0.05);两组并发症差异无统计学意义(P >0.05)。结论:主动脉内球囊反搏辅助治疗 AMI 合并泵衰竭有助于提高 PCI 治疗的成功率,改善血流动力学情况,增加尿量,缩短住院时间。
目的:探討主動脈毬囊反搏(IABP)治療急性心肌梗死(AMI)閤併泵衰竭的效果。方法:迴顧性分析我院2010年1月至2013年10月急診經皮冠狀動脈介入(PCI)治療的82例 AMI 閤併泵衰竭患者的臨床資料,根據是否使用 IABP 輔助治療分為兩組:IABP 組(42例,在 IABP 輔助下行 PCI 治療)和常規 PCI 組(40例,僅採用常規 PCI 治療),比較兩組患者治療成功率,死亡率,血流動力學(收縮壓、舒張壓、心率)穩定至 PCI 時間,住院時間及併髮癥等情況。結果:與常規 PCI 組比較,IABP 組治療後血壓顯著升高[收縮壓:(80.3±16.2)mmHg比(88.4±12.5)mmHg,舒張壓:(55.4±10.2)mmHg 比(60.0±10.5)mmHg],心率顯著降低[(92.4±26.1)次/min 比(80.5±18.5)次/min],P 均<0.05;尿量顯著增多[(30.2±8.3)ml/h 比(40.3±9.4)ml/h](P =0.001);IABP 組治療成功率顯著升高(72.5%比83.3%),死亡率顯著降低(27.5%比16.7%),血流動力學穩定至 PCI 時間[(10.1±8.1)h 比(5.0±2.5)h]及住院時間[(18.4±6.2)d 比(13.5±4.2)d]均顯著縮短(P均<0.05);兩組併髮癥差異無統計學意義(P >0.05)。結論:主動脈內毬囊反搏輔助治療 AMI 閤併泵衰竭有助于提高 PCI 治療的成功率,改善血流動力學情況,增加尿量,縮短住院時間。
목적:탐토주동맥구낭반박(IABP)치료급성심기경사(AMI)합병빙쇠갈적효과。방법:회고성분석아원2010년1월지2013년10월급진경피관상동맥개입(PCI)치료적82례 AMI 합병빙쇠갈환자적림상자료,근거시부사용 IABP 보조치료분위량조:IABP 조(42례,재 IABP 보조하행 PCI 치료)화상규 PCI 조(40례,부채용상규 PCI 치료),비교량조환자치료성공솔,사망솔,혈류동역학(수축압、서장압、심솔)은정지 PCI 시간,주원시간급병발증등정황。결과:여상규 PCI 조비교,IABP 조치료후혈압현저승고[수축압:(80.3±16.2)mmHg비(88.4±12.5)mmHg,서장압:(55.4±10.2)mmHg 비(60.0±10.5)mmHg],심솔현저강저[(92.4±26.1)차/min 비(80.5±18.5)차/min],P 균<0.05;뇨량현저증다[(30.2±8.3)ml/h 비(40.3±9.4)ml/h](P =0.001);IABP 조치료성공솔현저승고(72.5%비83.3%),사망솔현저강저(27.5%비16.7%),혈류동역학은정지 PCI 시간[(10.1±8.1)h 비(5.0±2.5)h]급주원시간[(18.4±6.2)d 비(13.5±4.2)d]균현저축단(P균<0.05);량조병발증차이무통계학의의(P >0.05)。결론:주동맥내구낭반박보조치료 AMI 합병빙쇠갈유조우제고 PCI 치료적성공솔,개선혈류동역학정황,증가뇨량,축단주원시간。
Objective:To explore the therapeutic effect of intra-aortic balloon counterpulsation (IABP)on acute my-ocardial infarction (AMI)complicated pump failure.Methods:Clinical data of 82 AMI patients complicated pump failure,which received emergency percutaneous coronary intervention (PCI)in our hospital from Jan 2010 to Oct 2013,were retrospectively analyzed.The patients were divided into IABP group (n=42,received PCI with auxiliary IABP)and routine PCI group (n=40,only received routine PCI therapy).Success rate of treatment,mortality,he-modynamic conditions [systolic blood pressure (SBP),diastolic blood pressure (DBP)and heart rate (HR)]stable to PCI time,length of hospital stay and complications were compared between two groups.Results:Compared with routine PCI group after treatment,there were significant rise in blood pressure [SBP: (80.3± 16.2)mmHg vs. (88.4±12.5)mmHg,DBP:(55.4±10.2)mmHg vs.(60.0±10.5)mmHg]and urine volume [(30.2±8.3)ml/h vs.(40.3±9.4)ml/h],and significant reduction in HR [(92.4±26.1)times/min vs.(80.5±18.5)times/min] in IABP group,P <0.05~<0.01;there was significant increase in success rate (72.5% vs.83.3%),and signifi-cant decrease in mortality rate (27.5% vs.16.7%),time stable to PCI for hemodynamical condition [(10.1±8.1) h vs.(5.0±2.5)h]and length of hospital stay [(18.4±6.2)d vs.(13.5±4.2)d]in IABP group,P <0.05 all;incidence rate of complications was no significant difference between groups (P >0.05).Conclusion:IABP adjuvant treatment helps to raise success rate of PCI,improve hemodynamic condition and increase urine volume,shorten length of hospital stay in patients with AMI complicated pump failure.