【摘要】：目的探討血栓抽吸并直接經(jīng)皮冠狀動(dòng)脈介入治療(PCI)對老年急性ST段抬高型心肌梗死(STE-MI)患者的治療效果。方法收集2012年9月至2014年9月該院收治的老年急性STE-MI患者124例,經(jīng)患者及家屬知情同意,分為兩組,觀察組(n=56)行血栓抽吸并直接PCI術(shù)治療,對照組(n=68)行單純PCI術(shù)治療;觀察兩組患者術(shù)后即刻冠狀動(dòng)脈內(nèi)溶栓后冠狀動(dòng)脈血流情況(TIMI),術(shù)后校正的TIMI幀數(shù)(CTFC),肌紅蛋白、肌鈣蛋白(cTnT)、肌酸激酶同工酶(CK-MB)水平,術(shù)后1hST抬高回落超過50%百分比,術(shù)后隨訪6個(gè)月。結(jié)果觀察組術(shù)后1hST段抬高回落超過50%百分比明顯高于對照組(P0.05);觀察組肌紅蛋白、cTnT、CK-MB水平,術(shù)后校正的CTFC、術(shù)后無復(fù)流率和慢復(fù)流率均明顯低于對照組(P0.05);兩組患者主要心血管不良事件(如心絞痛、心肌梗死、再次血運(yùn)重建等)的發(fā)生率比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);觀察組患者的左心室射血分?jǐn)?shù)(LVEF)50%百分比明顯高于對照組(P0.05);且兩組患者手術(shù)前、后LVEF50%百分比比較,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論血栓抽吸并直接PCI對老年急性STE-MI患者的臨床療效明顯優(yōu)于單純直接PCI治療。
[Abstract]:Objective to investigate the effect of thrombus aspiration combined with direct coronary intervention in the treatment of elderly patients with acute ST segment elevation myocardial infarction (STE-MI). Methods from September 2012 to September 2014, 124 elderly patients with acute STE-MI were divided into two groups with the informed consent of their family members. The observation group (n 鈮，

本文編號(hào)：2521459