CAJ | 학술논문

目的：探讨两种血栓抽吸导管在经皮冠状动脉介入治疗心肌梗死患者中的临床疗效。方法将选取2012年8月至2013年8月吉林市中心医院收治的心肌梗死患者资料120例，按随机数字表法将患者分为观察组和对照组，各60例。观察组患者在经皮冠状动脉介入治疗（PCI）前采用单轨导引型导管（ZEEK）抽吸血栓，对照组患者使用Diver CE抽吸血栓，比较两组患者抽出≥1 mm血栓率、盐酸替罗非班的使用情况以及术后冠状动脉造影前向血流达TIMI 3级率。结果观察组患者抽出直径≥1 mm血栓率明显高于对照组，盐酸替罗非班使用率明显低于对照组，差异均有统计学意义（均P＜0.05）。结论 PCI术前使用ZEEK抽吸血栓，其操作简单，额外风险较少、无复流发生率低，能有效减少心血管不良事件的发生。
목적：탐토량충혈전추흡도관재경피관상동맥개입치료심기경사환자중적림상료효。방법장선취2012년8월지2013년8월길림시중심의원수치적심기경사환자자료120례，안수궤수자표법장환자분위관찰조화대조조，각60례。관찰조환자재경피관상동맥개입치료（PCI）전채용단궤도인형도관（ZEEK）추흡혈전，대조조환자사용Diver CE추흡혈전，비교량조환자추출≥1 mm혈전솔、염산체라비반적사용정황이급술후관상동맥조영전향혈류체TIMI 3급솔。결과관찰조환자추출직경≥1 mm혈전솔명현고우대조조，염산체라비반사용솔명현저우대조조，차이균유통계학의의（균P＜0.05）。결론 PCI술전사용ZEEK추흡혈전，기조작간단，액외풍험교소、무복류발생솔저，능유효감소심혈관불량사건적발생。
Objective To investigate the clinical effect of two kinds of thrombus aspiration catheter in percutaneous coronary intervention for patients with acute myocardial infarction.Methods 120 patients with acute myocardial infarction from August 2012 to August 2013,60 cases of patients were randomly divided into observation group and control group by random number table method.Observation group patients by percutaneous coronary intervention (PCI)before treatment using a single guiding catheter(ZEEK)pumping blood sucking bolt,patients in the control group using the diver CE thrombus aspiration,compared two groups of patients taking is more than or equal to 1 mm thrombosis rate,hydrochloric acid for tirofiban use and postoperative coronary artery angiography to flow of TIMI grade 3 rate.Results Patients in the observation group taking diameter greater than or equal to 1 mm thrombosis rate was significantly higher than that of the control group,tirofiban hydrochloride tirofiban use rate was significantly lower than that of the control group,the differences were statisticaly significant(P<0.05).Conclusion ZEEK was used to draw blood PCI before operation,the operation is simple,the additional risk is less,no reflow is low, can effectively reduce the occurrence of adverse cardiovascular events.