世界最新医学信息文摘(连续型电子期刊)
世界最新醫學信息文摘(連續型電子期刊)
세계최신의학신식문적(련속형전자기간)
World Latest Medicine Information
2014年
35期
12-14
,共3页
买买提艾力%阿力木江%阿布力米提%阿不力米提%阿地力%阿吉木%木拉提%郑衡%古丽娅%阿里木江%阿布来提
買買提艾力%阿力木江%阿佈力米提%阿不力米提%阿地力%阿吉木%木拉提%鄭衡%古麗婭%阿裏木江%阿佈來提
매매제애력%아력목강%아포력미제%아불력미제%아지력%아길목%목랍제%정형%고려아%아리목강%아포래제
心肌梗死%血管成形术%经腔%经皮冠状动脉
心肌梗死%血管成形術%經腔%經皮冠狀動脈
심기경사%혈관성형술%경강%경피관상동맥
Myocardial infarction%angioplasty%transluminal%percutaneous coronary
目的:探讨维吾尔族st抬高急性心肌梗死(aMi)患者直接经皮冠状动脉介入治疗(Pci)的临床疗效及预后。方法将2006年7月至2008年12月入院的222例st段抬高aMi患者,非随机分为有创组(Pci治疗)89例和无创组133例,对两组患者的死亡率、主要心血管事件发生率、再梗死率以及第2周、6月超声心动图检查左室舒张期前后径(edd)和左心室射血分数(lVef)进行比较,同时依据患者的造影检查结果,分为单支、双支、三支病变组,分析病变数对左室功能的不同影响。结果有创组中,造影检查结果提示有单支血管病变24例(26.97%),双支病变21例(23.60%),三支病变29例(32.58%),80%的患者取得手术成功,放入支架77枚,术后74例(83.15%)患者梗死相关动脉(ira)达tiMi3级血流;两组比较,住院30d死亡率为3.3%vs5.2%(P<0.01),主要心血管事件发生率为10.1%vs26.3%(P<0.005),再梗死率为2.2%vs 8.3%(P<0.005);有创组第2周及6月超声检查lVef水平(59.87%±8.32%,54.62%±10.32%)显著高于无创组的(54.43%±10.21%,51.13%±9.12%),P<0.001,edd水平明显低于无创组[(53.02±5.51)mmvs(56.82±7.66)mm,P<0.001];有创组中单支血管病变组的lVef水平高于另两个病变组(P<0.01),而edd低于另两个病变组(P<0.01)。结论直接Pci能迅速打通ira,改善左室功能,有效降低再次心绞痛、再次住院、冠脉搭桥及死亡率,手术成功率高。对aMi患者进行早期介入治疗是一种积极、有效的治疗措施,近、远期临床效果较满意,可作为大多数aMi患者的首选治疗策略。
目的:探討維吾爾族st抬高急性心肌梗死(aMi)患者直接經皮冠狀動脈介入治療(Pci)的臨床療效及預後。方法將2006年7月至2008年12月入院的222例st段抬高aMi患者,非隨機分為有創組(Pci治療)89例和無創組133例,對兩組患者的死亡率、主要心血管事件髮生率、再梗死率以及第2週、6月超聲心動圖檢查左室舒張期前後徑(edd)和左心室射血分數(lVef)進行比較,同時依據患者的造影檢查結果,分為單支、雙支、三支病變組,分析病變數對左室功能的不同影響。結果有創組中,造影檢查結果提示有單支血管病變24例(26.97%),雙支病變21例(23.60%),三支病變29例(32.58%),80%的患者取得手術成功,放入支架77枚,術後74例(83.15%)患者梗死相關動脈(ira)達tiMi3級血流;兩組比較,住院30d死亡率為3.3%vs5.2%(P<0.01),主要心血管事件髮生率為10.1%vs26.3%(P<0.005),再梗死率為2.2%vs 8.3%(P<0.005);有創組第2週及6月超聲檢查lVef水平(59.87%±8.32%,54.62%±10.32%)顯著高于無創組的(54.43%±10.21%,51.13%±9.12%),P<0.001,edd水平明顯低于無創組[(53.02±5.51)mmvs(56.82±7.66)mm,P<0.001];有創組中單支血管病變組的lVef水平高于另兩箇病變組(P<0.01),而edd低于另兩箇病變組(P<0.01)。結論直接Pci能迅速打通ira,改善左室功能,有效降低再次心絞痛、再次住院、冠脈搭橋及死亡率,手術成功率高。對aMi患者進行早期介入治療是一種積極、有效的治療措施,近、遠期臨床效果較滿意,可作為大多數aMi患者的首選治療策略。
목적:탐토유오이족st태고급성심기경사(aMi)환자직접경피관상동맥개입치료(Pci)적림상료효급예후。방법장2006년7월지2008년12월입원적222례st단태고aMi환자,비수궤분위유창조(Pci치료)89례화무창조133례,대량조환자적사망솔、주요심혈관사건발생솔、재경사솔이급제2주、6월초성심동도검사좌실서장기전후경(edd)화좌심실사혈분수(lVef)진행비교,동시의거환자적조영검사결과,분위단지、쌍지、삼지병변조,분석병변수대좌실공능적불동영향。결과유창조중,조영검사결과제시유단지혈관병변24례(26.97%),쌍지병변21례(23.60%),삼지병변29례(32.58%),80%적환자취득수술성공,방입지가77매,술후74례(83.15%)환자경사상관동맥(ira)체tiMi3급혈류;량조비교,주원30d사망솔위3.3%vs5.2%(P<0.01),주요심혈관사건발생솔위10.1%vs26.3%(P<0.005),재경사솔위2.2%vs 8.3%(P<0.005);유창조제2주급6월초성검사lVef수평(59.87%±8.32%,54.62%±10.32%)현저고우무창조적(54.43%±10.21%,51.13%±9.12%),P<0.001,edd수평명현저우무창조[(53.02±5.51)mmvs(56.82±7.66)mm,P<0.001];유창조중단지혈관병변조적lVef수평고우령량개병변조(P<0.01),이edd저우령량개병변조(P<0.01)。결론직접Pci능신속타통ira,개선좌실공능,유효강저재차심교통、재차주원、관맥탑교급사망솔,수술성공솔고。대aMi환자진행조기개입치료시일충적겁、유효적치료조시,근、원기림상효과교만의,가작위대다수aMi환자적수선치료책략。
Objective To evaluate the clinical efifcacy of direct percutaneous coronary intervention (PCI) in ST-segment elevation acute myocardial infarction (aMi). Methods in 2006 July to 2008 december in hospital 222 cases of patients withnon st segment elevation aMi, were randomly divided into a group (Pci treatment) and 89 cases of noninvasive group 133 cases, major cardiovascular events in the two groups of patients the incidence, mortality, reinfarction andsecond weeks before and after June, echocardiography and left ventricularcheck the diastolic diameter (edd) and left ventricular ejection fraction (lVef)were compared, and according to angiography results in patients, divided intosingle, double and three lesion group, analysis of different effect of lesion on left ventricular function.Results the invasive group, contrast examination results suggest a single vessel disease in 24 cases (26.97%), double vessel disease in 21 cases (23.60%),three lesions in 29 cases (32.58%), 80%of patients achieved success inoperation, 77 stents,74 patients (83.15%) obtained tiMi gradeⅢperfusion of the ira. compared the invasive with the non-invasive group,the in-hospital 30-day mortality rate was 3.3%vs 5.2%(P<0.01), major cardiac events rate was 10.1%vs 26.3%(P<0.005),and reinfarction rate was 2.2%vs 8.3%(P<0.005)respertively .The LVEF in the invasive group was signiifcantly higher(59.87%±8.32%,54.62%±10.32%) than that in the non-invasive group(54.43%±10.21%,51.13%±9.12%) after 2 weeks or 6 months(P<0.001),but the edd was lower in the invasive group than in the controls[(53.02±5.51)mmvs(56.82±7.66)mm,P<0.001].here is a single vessel lesion group the level of lVef group is higher than the other two lesions group (P<0.01), and edd was lower than that of the other twolesions group (P<0.01). Conclusion direct Pci can quickly get through ira, and improve left ventricular function,effectively reduce recurrent angina, re hospitalization, and mortality of coronary artery bypass grafting,high operative successful rate .therefore,direct Pci is favourable for early reperfusion therapy after aMi.