Clinical Effect of Emergency PCI Combined with Extracorporeal Membrane Oxygenation in the Rescue of Patients with Cardiac Arrest after Acute Myocardial Infarction
Objective To analyze the effect of emergency PCI combined with ECMO in the treatment of patients cardiac arrest after acute myocardial infarction.Methods Seventy patients with cardiac arrest after acute myocardial infarction admitted to our hospital from January 2021 to February 2023 were selected as the study objects,and were divided into a control group and an observation group according to rescue methods,with 35 cases in each group.The control group was treated with emergency PCI combined with routine cardiopulmonary resuscitation,and the observation group was treated with emergency PCI combined with ECMO.The recovery rate of autonomic circulation,state of consciousness,Cerebral Performance category(CPC)and survival rate were compared between the two groups.Results The recovery rate of voluntary circulation in the observation group was 100%,higher than 85.71%in the control group,and the difference was statistically significant(P＜0.05).On the 1st and 3rd day after operation,the GCS scores of the observation group were higher than those of the control group,and the difference between the groups was statistically significant(P＜0.05).The incidence of CPC≤2 in the observation group was higher than that in the control group,and the incidence of＞2 was lower than that in the control group,and the difference between the two groups was statistically significant(P＜0.05).The 1-year survival rate of the observation group was 97.14%,higher than 85.71%of the control group,and the difference was statistically significant(P＜0.05).Conclusion Emergency PCI combined with extracorporeal membrane oxygenation in the treatment of cardiac arrest after acute myocardial infarction has a higher rescue success rate,improves brain function and improves survival rate,and is worthy of promotion.
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