發(fā)布時(shí)間：2018-08-30 20:01

【摘要】：目的探討老年急性心肌梗死(AMI)合并心源性休克(CS)患者經(jīng)皮冠狀動(dòng)脈介入術(shù)(PCI)后聯(lián)合應(yīng)用主動(dòng)脈球囊反搏(IABP)對術(shù)后的影響。方法選擇50例老年AMI合并CS患者PCI后聯(lián)合應(yīng)用IABP患者作為觀察組,另選50例老年AMI合并CS患者PCI術(shù)后未聯(lián)合IABP的患者作對照組。比較IABP術(shù)前、術(shù)后不同時(shí)間點(diǎn)血流動(dòng)力學(xué)參數(shù)、IABP患者并發(fā)癥、住院死亡率、30 d死亡率及死因。結(jié)果 IABP聯(lián)合PCI在治療AMI合并CS時(shí),IABP植入前與術(shù)后1 h及24 h收縮壓(SBP)及舒張壓(DBP)比較均有顯著上升(P0.05),平均動(dòng)脈壓Ⅱ有統(tǒng)計(jì)學(xué)差異(P0.05);IABP植入術(shù)后患者心率(HR)降低(P0.05);血氧飽和度、左室射血分?jǐn)?shù)比較有統(tǒng)計(jì)學(xué)差異(P0.05)。需要進(jìn)行機(jī)械通氣是預(yù)后不良特征(P0.05,OR=9.634,95%CI 1.211~70.244)。結(jié)論對老年AMI合并CS患者行PCI聯(lián)合IABP可以有效改善患者血流動(dòng)力學(xué)狀態(tài),但患者住院期間死亡率和30 d死亡率仍保持較高水平,機(jī)械通氣是患者預(yù)后不良的特征性指標(biāo)。
[Abstract]:Objective to investigate the effect of percutaneous coronary intervention (PCI) combined with aortic balloon counterpulsation (IABP) on elderly patients with acute myocardial infarction (AMI) complicated with cardiogenic shock (CS). Methods 50 elderly patients with AMI combined with CS after PCI were selected as observation group, and 50 elderly patients with AMI and CS without IABP after PCI were selected as control group. The hemodynamic parameters before and after IABP were compared with the complications, hospital mortality, 30 days mortality and causes of death. Results the systolic blood pressure (SBP) and diastolic blood pressure (DBP) were significantly increased before and after IABP and PCI implantation (P0.05), and the mean arterial pressure 鈪，

本文編號(hào)：2214136