首页|替罗非班联合高维持量阿托伐他汀对急性冠脉综合征介入术后预后的影响

替罗非班联合高维持量阿托伐他汀对急性冠脉综合征介入术后预后的影响

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目的:观察替罗非班联合高维持量阿托伐他汀对急性冠脉综合征(ACS)介入术后预后的影响。方法:回顾性分析2021年6月—2023年8月通化市人民医院收治的50例ACS介入术患者的临床资料,根据是否进行替罗非班治疗将其分为对照组(仅高维持量阿托伐他汀治疗,n=24)和观察组(替罗非班联合高维持量阿托伐他汀治疗,n=26)。比较两组冠状动脉血流分级、心肌损伤指标及预后情况。结果:观察组术后36 h心肌梗死溶栓试验(TIMI)血流分级优于对照组,差异有统计学意义(P<0。05);术后6个月,两组肌酸激酶同工酶(CK-MB)、乳酸脱氢酶(LDH)、肌钙蛋白I(cTnI)较术前降低,且观察组低于对照组,差异有统计学意义(P<0。05);观察组术后6个月内心血管事件、再狭窄情况少于对照组,但差异无统计学意义(P>0。05)。结论:替罗非班联合高维持量阿托伐他汀可改善急性冠脉综合征介入术后患者冠状动脉血流灌注情况,减少心肌损伤,对预后的改善作用有待进一步证实。
Effect of Tirofiban Combined with High Maintenance Dose of Atorvastatin on Prognosis of Acute Coronary Syndrome after Intervention Surgery
Objective:To observe the effect of Tirofiban combined with high maintenance dose of Atorvastatin on prognosis of acute coronary syndrome (ACS) after intervention surgery.Method:The clinical data of 50 patients with ACS undergoing interventional therapy who admitted to Tonghua People's Hospital from June 2021 to August 2023 were retrospectively analyzed,they were divided into the control group (only high maintenance Atorvastatin treatment,n=24) and observation group (Tirofiban combined with high maintenance Atorvastatin treatment,n=26) according to whether Tirofiban treatment was performed.The coronary blood flow grade,myocardial injury index and prognosis were compared between two groups.Result:The thrombolysis in myocardial infarction (TIMI) blood flow grade in the observation group at 36 h after operation was better than that in the control group,and the difference was statistically significant (P<0.05);at 6 months after operation,the levels of creatine kinase isoenzyme (CK-MB),lactate dehydrogenase (LDH) and troponin I (cTnI) in two groups were lower than those before operation,and those in the observation group were lower than those in the control group,the differences were statistically significant (P<0.05);the cardiovascular events and restenosis in the observation group were less than those in the control group within 6 months after operation,but the differences were not statistically significant (P>0.05).Conclusion:Tirofiban combined with high maintenance dose of Atorvastatin can improve coronary blood flow perfusion and reduce myocardial injury in patients with acute coronary syndrome after percutaneous coronary intervention,the improvement of prognosis needs to be further confirmed.

TirofibanAtorvastatinAcute coronary syndromePercutaneous coronary interventionPrognosis

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通化市人民医院 吉林 通化 134000

替罗非班 阿托伐他汀 急性冠脉综合征 经皮冠状动脉介入治疗 预后

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(29)