期刊文献+

替罗非班用于冠状动脉介入术中无复流现象的疗效分析

Effects of Tirofiban in patients with no reflow during PCI procedure
原文传递
导出
摘要 目的:观察替罗非班对冠状动脉介入无复流现象的治疗效果。方法:对冠状动脉介入术中出现无复流现象39例患者依次给予硝酸甘油、维拉帕米和替罗非班,观察靶血管前向血流的TIMI分级。结果:替罗非班明显改善TIMI血流,治疗无复流现象的有效率(28/33)明显优于硝酸甘油的有效率(4/39)和维拉帕米的有效率(2/35),差异有统计学意义(P<0.01)。结论:替罗非班对冠状动脉介入术中无复流现象有确切疗效。 Objective: To observe the clinical effect of platelet GP Ⅱ b /Ⅲa receptor antagonist, Tirofiban in patients with no reflow during percutaneous coronary intervention (PCI)procedure. Methods: Thirty nine cases of no reflow patients during PCI procedure were infused with nitroglycerin, verapamil and Tirofiban by turns,and the target vessel TIMI flow was graded accordingly. Results: Tirofiban improved target vessel TIMI flow significantly than nitroglycerin and verapamil. Their effective percentage were 28/33,4/39,2/35, respectively. The differences were statistically significant(P〈0. 01 ). Conclusions:Tirofiban has definite effect in patients with no reflow during PCI procure.
作者 贺剑
出处 《中国冶金工业医学杂志》 2009年第6期627-628,共2页 Chinese Medical Journal of Metallurgical industry
关键词 替罗非班 冠状动脉介入治疗 无复流现象 疗效 Tirofiban Percutaneous coronary intervention No reflow phenomenon Effect
  • 相关文献

参考文献3

  • 1Resnic FS, Wainstein M, Leem K, et al. No reflow is an independent predictor of death and myocardial infarction after percutaneous coronary intervention[J]. Am Heart J, 2003,145 (1) : 42-46.
  • 2Warnholta A, Ostad MA, Heitzer T, et al. Effect of tirofiban on pereutaneous coronary intervention-induced endothelial dysfunction in patients with stable coronary artery disease[J]. Am J Cardiol, 2005,95(1) :20-23.
  • 3沈杰,张瑞岩,张奇,张建盛,胡健,杨震坤,张宪,郑爱芳,沈卫峰.替罗非班对心肌梗死急诊介入治疗后ST段回落及临床预后的作用[J].中国循环杂志,2006,21(5):326-329. 被引量:18

二级参考文献16

  • 1沈杰,沈卫峰.替罗非班在急性冠脉综合征介入治疗中的应用[J].国际心血管病杂志,2006,33(3):156-159. 被引量:72
  • 2Van' t Hof AWJ,Liem A,de Boer MJ,et al.Clinical value of 12-lead electrocardiogram after successful reperfusion therapy for acute myocardial infarction.Lancet,1997,350:615-619.
  • 3Sheiban I,Fragasso G,Lu C,et al.Influence of treatment delay on longterm left ventricular function in patients with acute myocardial infarction successfully treated with primary angioplasty.Am Heart J,2001,141:603-609.
  • 4Matetzky S,Freimark D,Chouraqui P,et al.The distinction between coronary and myocardial reperfusion after thrombolytic therapy by clinical markers of reperfusion.J Am Coll Cardiol,1998,32:1326-1330.
  • 5Mukherjee D,Moliterno DJ.Achieving tissue level perfusion in the setting of acute myocardial infarction.Am J Cardiol.2000,85:39C-46C.
  • 6Saitoh S,Onogi F,Aikawa K,et al.Multiple endothelial injury in epicardial coronary artery induces downstream microvascular spasm as well as remodeling partly via thromboxane A2.J Am Coll Cardiol,2001,37:308-315.
  • 7Shen YT,Wiedmann RT,Lynch J J,et al.Platelet glycoprotein Ⅱ b/ Ⅲ a receptor inhibitor preserves coronary flow reserve during progressive coronary arteriostenosis in swine.Arterioscler Thromb Vasc Biol,2000,20:2309-2315.
  • 8Kunichika H,Ben-Yehuda O,Lafi tte S,et al.Effects of glycoprotein Ⅱb/Ⅲ a inhibition on microvascular flow after coronary reperfusion.J Am Coll Cardiol,2004,43:276-283.
  • 9Ito H,Okamura A,Iwakura K,et al.Myocardial perfusion patterns related to thrombolysis in myocardial infarction perfusion grades after coronary angioplasty in patients with acute anterior wall myocardial infarction.Circulation,1996,93:1993-1999.
  • 10Shah A,Wagner GS,Granger CB,et al.Prognostic implications of TIMI flow grade in the infarct related artery compared with continuous 12-lead ST-segment resolution analysis.Reexamining the "gold standard" for myocardial reperfusion assessment.J Am Coll Cardiol,2000,35:666-672.

共引文献17

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部