摘要
目的：观察和分析盐酸替罗非班对 ST 段抬高心梗患者急诊经皮冠状动脉介入治疗中血流的影响和临床疗效。方法选取2013年2月～2014年4月我院收治的急诊入院36例 STEMI 急性心肌梗死行 PCI 患者，随机分成两组，每组各18例，其中观察组 PCI 术前开始采用盐酸替罗非班，对照组采用常规 PCI 术，观察两组患者术前和术后冠状动脉血流情况。结果观察组患者恢复 TIMI 3级血流比例明显高于对照组，观察组术后 TIMI 血流 3级发生率为（94.4%），常规 PCI 的对照组术后 TIMI 血流为（83.3%），P ＜0.05。结论在对STEMI 患者进行急诊经皮冠状动脉介入治疗采用替罗非班可改善患者梗死相关血管的 TIMI 血流。
Objective To observe and analyze Tirofiban Hydrochloride of ST segment elevation myocardial infarction （AMI） patients had emergency percutaneous coronary interventional therapy in blood fiow and the infiuence of clinical curative effect. Methods From February 2013 to April 2014 emergency department of our hospital admission line 36 cases of acute myocardial infarction （STEMI PCI patients, randomly divided into two groups, each group of 18 cases, the observation group had class for PCI preoperative started using Tirofiban Hydrochloride, the control group using conventional PCI operation, observe two groups of patients with preoperative and postoperative coronary artery blood flow. Results The observation group of patients recover TIMI3 blood flow ratio is significantly higher than the control group, incidence of postoperative TIMI fiow observation group 3 for （94.4%）, routine PCI postoperative TIMI fiow control group （83.3%）, P〈0.05. Conclusion In patients with STEMI emergency percutaneous coronary interventional therapy using for class can improve patients with infarction related blood vessels had TIMI fiow, worthy of clinical popularization and application.
出处
《中国继续医学教育》
2014年第8期142-143,共2页
China Continuing Medical Education
关键词
盐酸替罗非班
ST段抬高心梗
PCI术
Tirofiban Hydrochloride ST segment elevation myocardial infarction PCI surgery
