首页|依洛尤单抗注射液对急性冠脉综合征PCI术后TIMI血流分级、炎症因子及预后的影响

依洛尤单抗注射液对急性冠脉综合征PCI术后TIMI血流分级、炎症因子及预后的影响

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目的 探讨依洛尤单抗注射液对急性冠脉综合征(ACS)经皮冠状动脉介入治疗(PCI)术后即刻心肌梗死溶栓(TIMI)血流分级、炎症因子及预后的影响.方法 选取2022 年1 月至2023 年12 月在江苏大学附属澳洋医院行急诊PCI术的120 例ACS患者为研究对象.采用随机数表法将患者分为对照组和研究组,每组60 例.对照组给予瑞舒伐他汀治疗,研究组给予依洛尤单抗注射液联合瑞舒伐他汀治疗.比较2 组治疗前后TIMI血流分级、炎症指标,随访6 个月记录主要不良心血管事件(MACE).结果 与PCI术前比较,2 组PCI术后即刻TIMI血流分级升高,差异有统计学意义(P<0.05);术后即刻,2 组TIMI血流分级比较,差异无统计学意义(P>0.05).PCI术后 2 个月,2 组血清炎症因子水平低于术前,且研究组低于对照组,差异有统计学意义(P<0.05).2 组PCI术后 6 个月内MACE发生率比较,差异无统计学意义(P>0.05).结论 依洛尤单抗注射液应用于ACS急诊PCI术后治疗中,能够改善病变远端血管血运,抑制炎症反应,且不增加MACE的发生率.
Effect of Eloizumab Injection on TIMI Flow Grade,Inflammatory Factors and Prognosis in Patients with Acute Coronary Syndrome after PCI
Objective To investigate the effect of eloizumab injection on thrombolysis in myocardial infarction(TI-MI)blood flow grading immediately after percutaneous coronary intervention(PCI),inflammatory factors and prognosis in pa-tients with acute coronary syndrome(ACS).Methods 120 patients with ACS who underwent emergency PCI in our hospital from January 2022 to December 2023 were selected.They were divided into control group(n=60)and study group(n=60).The control group was treated with rosuvastatin,and the study group was treated with evolocumab injection combined with rosuvastatin.TIMI blood flow classification and inflammatory indexes were compared between the two groups before and after treatment,and major adverse cardiovascular events(MACE)were recorded during 6 months of follow-up.Results Com-pared with before PCI,the TIMI blood flow grade increased immediately after PCI in the two groups(P<0.05),while there was no significant difference in TIMI blood flow grade between the two groups immediately after operation(P>0.05).Two months after PCI,the serum inflammatory markers of the two groups were lower than those before operation,and the study group was lower than the control group(P<0.05).There was no significant difference in the incidence of MACE between the two groups within 6 months after PCI(P>0.05).Conclusion The application of eloizumab injection in the treatment of ACS after emergency PCI can improve the distal vascular blood supply of the lesion,inhibit the inflammatory reaction,and do not increase the incidence of MACE.

Acute coronary syndromePercutaneous coronary interventionEvolocumab injectionPrognosis

张晶晶、朱捷

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215600 江苏 张家港,江苏大学附属澳洋医院心血管内科

急性冠脉综合征 经皮冠状动脉介入治疗 依洛尤单抗注射液 预后

2024

转化医学杂志
海军总医院

转化医学杂志

CSTPCD
影响因子:0.671
ISSN:2095-3097
年,卷(期):2024.13(7)