首页|替格瑞洛对ST段抬高型心肌梗死患者经皮冠状动脉介入治疗后心肌微循环、心功能的影响

替格瑞洛对ST段抬高型心肌梗死患者经皮冠状动脉介入治疗后心肌微循环、心功能的影响

扫码查看
目的 分析替格瑞洛在改善ST段抬高型心肌梗死(ST segment elevation myocardial infarction,STEMI)患者心肌微循环、心功能中的价值.方法 非随机选取2022年1月—2023年8月山东颐养健康集团淄博医院收治的70例行经皮冠状动脉介入治疗的STEMI患者为研究对象,按治疗方式不同分为两组,各35例.对照组给予氯吡格雷治疗,观察组给予替格瑞洛治疗,对比两组血流分级、心功能、心肌微循环.结果 观察组血流分级0级(0)、1级11.43%(4/35)、2级62.86%(22/35)、3级25.71%(9/35)优于对照组的25.71%(9/35)、34.29%(12/35)、34.29%(12/35)、5.71%(2/35),差异有统计学意义(Z=20.395,P<0.05).观察组心脏指数、每搏输出量指数、左室射血分数及心肌微循环指标均优于对照组,差异有统计学意义(P均<0.05).结论 在STEMI患者经皮冠状动脉介入治疗中应用替格瑞洛,可改善心肌循环状态及心功能.
The Effect of Ticagrelor on Myocardial Microcirculation and Heart Func-tion in Patients with ST Segment Elevation Myocardial Infarction after Percutaneous Coronary Intervention Treatment
Objective To evaluate the value of ticagrelor in improving myocardial microcirculation and cardiac func-tion in patients with ST segment elevation myocardial infarction(STEMI).Methods 70 STEMI patients undergoing percutaneous coronary intervention treated in Shandong Yiyang Health Group Zibo Hospital from January 2022 to Au-gust 2023 were non-randomly selected as the study subjects,and were divided into two groups according to different treatment methods,with 35 cases in each group.The control group was treated with clopidogrel and the observation group was treated with ticagrelor.Blood flow classification,cardiac function and myocardial microcirculation were compared between the two groups.Results The blood flow classification of grade 0(0),grade 1 11.43%(4/35),grade 2 62.86%(22/35),grade 3 25.71%(9/35)in observation group were better than 25.71%(9/35),34.29%(12/35),34.29%(12/35)and 5.71%(2/35)of the control group,the difference was statistically significant(Z=20.395,P<0.05).Cardiac index,stroke output index,left ventricular ejection fraction and myocardial microcirculation indexes in observation group were better than those in control group,and the differences were statistically significant(all P<0.05).Conclu-sion The use of ticagrelor in percutaneous coronary intervention in STEMI patients can improve myocardial circulation status and cardiac function.

TigrelorST segment elevation typeMyocardial infarctionPercutaneous coronary interventionCardiac function

王力、邢娟

展开 >

山东颐养健康集团淄博医院心血管内科,山东 淄博 255120

替格瑞洛 ST段抬高型 心肌梗死 经皮冠状动脉介入 心功能

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(14)