摘要
目的探讨经皮冠状动脉介入术(PCI)以及主动脉内球囊反搏(IABP)支持下行PCI治疗急性心肌梗死(AMI)并发心源性休克(CS)患者近期疗效。方法收集AMI合并CS患者资料,按照是否行PCI治疗分为PCI组和常规药物治疗组,并将PCI治疗组根据有无使用IABP分为两个亚组。分析患者一般情况、危险因素和院内病死率的差异。结果 (1)PCI组与常规药物治疗组患者发病至就诊时间差异有统计学意义[(8.2±2.9)h vs(27.5±8.3)h,P<0.05],在一般情况及危险因素差异无统计学意义情况下,两组院内病死率比较有统计学意义(35.7%vs 57.4%,P<0.05)。(2)IABP基础上行PCI治疗组在一般情况、危险因素与单纯PCI治疗组相比差异无统计学意义情况下,两组患者院内病死率有统计学意义(14.3%vs 46.4%,P<0.05)。结论早期行PCI可改善AMI合并CS患者近期预后,在IABP基础上再行PCI治疗,院内病死率可进一步降低。
Objective To explore the short-term efficacy of percutaneous coronary intervention（PCI） and intra-aortic balloon pump（IABP） support in patients with acutemyocardial infarction（AMI） complicated by cardiogenic shock（CS） undergoing PCI.Methods All the patients diagnosed as AMI complicated by CS were enrolled in the study and divided into two groups by whether their treated with PCI,the one who treated with PCI divided into two groups by whether their used IABP.Data of the patients including general conditions,risk factors and in-hospital mortality were compared.Results In PCI group,the time from onset of AMI to hospital was shorter（8.2±2.9h vs.27.5±8.3h,P0.05）,the other general conditions,risk factors were similar,In PCI group the in-hospital mortality rate was lower（35.7% vs.57.4%,P0.05）;The general conditions,risk factors were similar between the two groups,in intra-aortic balloon pump（IABP） support undergoing PCI group the in-hospital mortality rate was lower（14.3% vs.46.4%,P0.05）.Conclusion The data confirm that PCI therapy for patients with AMI complicated by CS is effective and the short-term outcome is satisfactory,and if use IABP,the in-hospital mortality is more improve.
出处
《宁夏医学杂志》
CAS
2010年第5期406-408,共3页
Ningxia Medical Journal
关键词
急性心肌梗死
心源性休克
经皮冠状动脉介入
主动脉内球囊反搏
Acute myocardial infarction
Cardiogenic shock
Percutaneous coronary intervention
Intra-aortic balloon pump
