中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
9期
36-38
,共3页
急性心肌梗死%经皮冠状动脉介入术%主动脉内球囊反搏术
急性心肌梗死%經皮冠狀動脈介入術%主動脈內毬囊反搏術
급성심기경사%경피관상동맥개입술%주동맥내구낭반박술
Acute myocardial infarction%Percutaneous coronary intervention%Intra-aortic balloon pump
目的 观察主动脉球囊反搏术在急诊冠状动脉介入术中的应用效果.方法 2011年1月1日至2013年10月1日,选择在齐齐哈尔医学院附属第三医院心内科行急诊经皮冠状动脉介入术的急性心肌梗死合并心源性休克患者76例作为研究对象,其中观察组41例,行主动脉内球囊反搏术(intraaortic balloon pump,IABP),对照组35例没有采用IABP,比较2组患者左室射血分数(left yen-tricular ejection fraction,LVEF)及射血分数(ejection fraction,EF)改善率(术后EF/术前EF),以及IABP术后并发症发生情况.结果 2组患者术后24h内LVEF变化、EF改善率、收缩压和舒张压比较具有统计学意义;在手术6个月后,LVEF变化以及患者死亡例数比较具有统计学意义.结论 对于存在血流动力学障碍的急性心肌梗死患者行经皮冠状动脉介入术时,及时进行主动脉内球囊反搏术,能有效改善患者的LVEF,有效提高患者的血压水平,降低患者的死亡率.
目的 觀察主動脈毬囊反搏術在急診冠狀動脈介入術中的應用效果.方法 2011年1月1日至2013年10月1日,選擇在齊齊哈爾醫學院附屬第三醫院心內科行急診經皮冠狀動脈介入術的急性心肌梗死閤併心源性休剋患者76例作為研究對象,其中觀察組41例,行主動脈內毬囊反搏術(intraaortic balloon pump,IABP),對照組35例沒有採用IABP,比較2組患者左室射血分數(left yen-tricular ejection fraction,LVEF)及射血分數(ejection fraction,EF)改善率(術後EF/術前EF),以及IABP術後併髮癥髮生情況.結果 2組患者術後24h內LVEF變化、EF改善率、收縮壓和舒張壓比較具有統計學意義;在手術6箇月後,LVEF變化以及患者死亡例數比較具有統計學意義.結論 對于存在血流動力學障礙的急性心肌梗死患者行經皮冠狀動脈介入術時,及時進行主動脈內毬囊反搏術,能有效改善患者的LVEF,有效提高患者的血壓水平,降低患者的死亡率.
목적 관찰주동맥구낭반박술재급진관상동맥개입술중적응용효과.방법 2011년1월1일지2013년10월1일,선택재제제합이의학원부속제삼의원심내과행급진경피관상동맥개입술적급성심기경사합병심원성휴극환자76례작위연구대상,기중관찰조41례,행주동맥내구낭반박술(intraaortic balloon pump,IABP),대조조35례몰유채용IABP,비교2조환자좌실사혈분수(left yen-tricular ejection fraction,LVEF)급사혈분수(ejection fraction,EF)개선솔(술후EF/술전EF),이급IABP술후병발증발생정황.결과 2조환자술후24h내LVEF변화、EF개선솔、수축압화서장압비교구유통계학의의;재수술6개월후,LVEF변화이급환자사망례수비교구유통계학의의.결론 대우존재혈류동역학장애적급성심기경사환자행경피관상동맥개입술시,급시진행주동맥내구낭반박술,능유효개선환자적LVEF,유효제고환자적혈압수평,강저환자적사망솔.
Objective To observe the application effect of intra-aortic balloon pump (IABP) in the emergency coronary intervention.Methods 76 cases patients with acute myocardial infarction complicated with cardiogenic shock were selected in the Third Affiliated Hospital of Qiqihar Medical University.41 cases in the observation group used IABP,35 cases in the control group did not use the IABP.The left ventricular ejection fraction (LVEF),ejection fraction improvement rate (postoperative EF/pre-operative EF),and the incidence of postoperative complications of IABP were compared between two groups.Results LVEF changes,the rate of improvement in ejection fraction,systolic and diastolic blood pressure were statistically significant; after six months,LVEF changes and the number of cases of death in patients were also statistically different between two groups.Conclusions For the patients with AMI and hemodynamic disorders undergoing PCI,timely IABP can effectively improve the patients’ left ventricular ejection fraction,improve the patients’ blood pressure levels and reduce mortality rate of patients.
