直接经皮冠脉介入治疗在急性心肌梗死合并心源性休克患者抢救中的应用
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【关键词】 直接经皮冠脉介入治疗；抢救；急性心肌梗死；心源性休克 【中国图书分类号】 R542.22
Application of direct percutaneous coronary intervention in the treatment of acute myocardial infarction with cardiogenic shock XIONG Jun. Department of Cardiology, Gucheng County People's Hospital, Xiangyang 441700, China
ቤተ መጻሕፍቲ ባይዱ16
中华灾害救援医学 2020 年 1 月 第 8 卷 第 1 期 Chinese Journal of Disaster Medicine, Vol.8, No.1, January, 2020
直接经皮冠脉介入治疗在急性心肌梗死合并 心源性休克患者抢救中的应用
熊 俊
【摘要】 目的 观察直接经皮冠脉介入治疗在急性心肌梗死合并心源性休克患者抢救中的应用效果。 方法 选取湖 北省谷城县人民医院 68 例急性心肌梗死合并心源性休克患者作为研究对象，按照治疗方案不同将其分为对照组和观察组各 34 例，观察组采取直接经皮冠脉介入治疗，对照组采取阿替普酶溶栓治疗，比较治疗前后两组心率、尿量、左心室射血分数及 血管开通成功率、死亡率。 结果 观察组治疗后心率、死亡率明显低于对照组，尿量、左心室射血分数及血管开通成功率 明显高于对照组，差异均有统计学意义（P<0.05）。 结论 在急性心肌梗死合并心源性休克患者抢救过程中，采用直接经 皮冠脉介入治疗的血管开通成功率更高，可明显改善心功能指标，降低死亡率。
【Key words】 direct percutaneous coronary intervention; rescue; acute myocardial infarction; cardiogenic shock
急性心肌梗死合并心源性休克患者具有较高的死亡风 险，严重威胁其生命健康 [1]。以往多采取药物溶栓治疗，但 仅予以药物治疗，效果欠佳。近年来，直接经皮冠脉介入治 疗方法在此类患者中逐渐被使用，有助于疏通血管，改善心 肌功能 [2]。本文观察直接经皮冠脉介入治疗急性心肌梗死合 并心源性休克患者的效果。
Corresponding author: XIONG Jun, E-mail: 527875200@
【Abstract】 Objective To observe the effect of direct percutaneous coronary intervention in the rescue of patients with acute myocardial infarction complicated with cardiogenic shock. Methods 68 patients with acute myocardial infarction and cardiogenic shock were selected from the Gucheng County People's Hospital of Hubei Province as the research subjects. They were divided into control group and observation group, with 34 cases in each group. The observation group received direct percutaneous coronary intervention, and the control group received alteplase thrombolytic therapy, the heart rate, urine volume, left ventricular ejection fraction, success rate of vascular patency, and mortality were compared between the two groups before and after treatment. Results The heart rate and mortality of the observation group were significantly lower than those of the control group. The urine output, left ventricular ejection fraction, and success rate of vascular patency were significantly higher than those of the control group, the differences were statistically significant (P<0.05). Conclusions In the rescue process of patients with acute myocardial infarction and cardiogenic shock, the success rate of vascular opening is higher with direct percutaneous coronary intervention, which can significantly improve cardiac function indicators and reduce mortality.
1. 对象与方法
1.1 对象 选取 2017-05 至 2019-08 谷城县人民医院心内 科收治的 68 例急性心肌梗死合并心源性休克患者作为研究
Application of direct percutaneous coronary intervention in the treatment of acute myocardial infarction with cardiogenic shock XIONG Jun. Department of Cardiology, Gucheng County People's Hospital, Xiangyang 441700, China
ቤተ መጻሕፍቲ ባይዱ16
中华灾害救援医学 2020 年 1 月 第 8 卷 第 1 期 Chinese Journal of Disaster Medicine, Vol.8, No.1, January, 2020
直接经皮冠脉介入治疗在急性心肌梗死合并 心源性休克患者抢救中的应用
熊 俊
【摘要】 目的 观察直接经皮冠脉介入治疗在急性心肌梗死合并心源性休克患者抢救中的应用效果。 方法 选取湖 北省谷城县人民医院 68 例急性心肌梗死合并心源性休克患者作为研究对象，按照治疗方案不同将其分为对照组和观察组各 34 例，观察组采取直接经皮冠脉介入治疗，对照组采取阿替普酶溶栓治疗，比较治疗前后两组心率、尿量、左心室射血分数及 血管开通成功率、死亡率。 结果 观察组治疗后心率、死亡率明显低于对照组，尿量、左心室射血分数及血管开通成功率 明显高于对照组，差异均有统计学意义（P<0.05）。 结论 在急性心肌梗死合并心源性休克患者抢救过程中，采用直接经 皮冠脉介入治疗的血管开通成功率更高，可明显改善心功能指标，降低死亡率。
【Key words】 direct percutaneous coronary intervention; rescue; acute myocardial infarction; cardiogenic shock
急性心肌梗死合并心源性休克患者具有较高的死亡风 险，严重威胁其生命健康 [1]。以往多采取药物溶栓治疗，但 仅予以药物治疗，效果欠佳。近年来，直接经皮冠脉介入治 疗方法在此类患者中逐渐被使用，有助于疏通血管，改善心 肌功能 [2]。本文观察直接经皮冠脉介入治疗急性心肌梗死合 并心源性休克患者的效果。
Corresponding author: XIONG Jun, E-mail: 527875200@
【Abstract】 Objective To observe the effect of direct percutaneous coronary intervention in the rescue of patients with acute myocardial infarction complicated with cardiogenic shock. Methods 68 patients with acute myocardial infarction and cardiogenic shock were selected from the Gucheng County People's Hospital of Hubei Province as the research subjects. They were divided into control group and observation group, with 34 cases in each group. The observation group received direct percutaneous coronary intervention, and the control group received alteplase thrombolytic therapy, the heart rate, urine volume, left ventricular ejection fraction, success rate of vascular patency, and mortality were compared between the two groups before and after treatment. Results The heart rate and mortality of the observation group were significantly lower than those of the control group. The urine output, left ventricular ejection fraction, and success rate of vascular patency were significantly higher than those of the control group, the differences were statistically significant (P<0.05). Conclusions In the rescue process of patients with acute myocardial infarction and cardiogenic shock, the success rate of vascular opening is higher with direct percutaneous coronary intervention, which can significantly improve cardiac function indicators and reduce mortality.
1. 对象与方法
1.1 对象 选取 2017-05 至 2019-08 谷城县人民医院心内 科收治的 68 例急性心肌梗死合并心源性休克患者作为研究