首页|PPCI联合IABP抢救AMI合并CS患者疗效分析

PPCI联合IABP抢救AMI合并CS患者疗效分析

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目的 探讨急诊冠脉介入联合主动脉内球囊反搏抢救急性心肌梗死合并心源性休克的临床疗效.方法 连续收集2017年6月-2022年12月收住曲靖市第一人民医院186例AMI合并CS患者(男99例、女87例)的疾病信息、治疗信息和疗效指标,对比91例PPCI联合IABP患者与95例单纯PPCI患者的疗效差异.结果 2组患者术前血流动力学指标和心功能指标无统计学差异(P>0.05),联合组多项疗效指标优于单纯组,差异有统计学意义(P<0.05);联合组再发心肌梗死、急性血栓形成、围术期死亡率均低于单纯组,差异有统计学意义(P>0.05);LVEF和血清BNP的改善均优于单纯组差异有统计学意义(P<0.05).结论 IABP联合PPCI抢救AMI,在缓解患者病情和改善预后方面优于单纯PPCI,机理是改善患者围术期的血流动力学.
Analysis on the efficacy of PPCI combined with IABP for rescuing patients with AMI combined with CS
Objective To investigate the clinical efficacy of emergency coronary intervention combined with intra-aortic balloon counterpulsation in the rescue of acute myocardial infarction combined with cardiogenic shock.Methods The disease information,treatment information and efficacy indexes of 186 patients with AMI combined with CS(99 males and 87 females cases,age years)admitted to the First People's Hospital of Qujing from June 2017 to December 2022 were collected consecutively,and the efficacy difference between 91 patients with PPCI combined with IABP and 95 patients with PPCI alone were compared.Results There were no statistical differences in preoperative hemodynamic indexes and cardiac function indexes between the two groups(all P>0.05),and several efficacy indexes of the combination group were better than those of the simple group which with statistical significance(all P<0.05);The recurrent myocardial infarction,acute thrombosis,and perioperative mortality of combination group were lower than those of the simple group which with statistical significance(P>0.05);The improvement of LVEF and serum BNP were better than that of simple group which with statistical significance(all P<0.05).Conclusions IABP combined with PPCI for rescuing AMI patients is superior to PPCI alone in terms of palliation and improved prognosis,and the mechanism is to improve the perioperative hemodynamics of patients.

acute myocardial infarctioncardiogenic shockemergency coronary interventionintra-aortic balloon counterpulsation

杜勇、何明、李卓、胡桂菊

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曲靖市第一人民医院心血管内科,云南 曲靖 655000

急性心肌梗死 心源性休克 急诊冠脉介入 主动脉内球囊反搏

2024

云南医药
中华医学会云南分会

云南医药

影响因子:0.459
ISSN:1006-4141
年,卷(期):2024.45(1)
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