摘要
目的探讨主动脉球囊反搏在老年急性冠状动脉综合征中的应用效果。方法选取本院2007年10月-2014年4月收治的38例老年急性冠状动脉综合征患者作为研究对象,针对不同病情与治疗情况,采用主动脉球囊反搏治疗,观察治疗前后的血流动力学、并发症等。结果 5例（13.16%）患者院内死亡,11例（28.95%）患者出院1年后死亡。男女两组患者的病情特征及预后比较,差异无统计学意义（P〉0.05）;心源性休克与非心源性休克患者的院内死亡率与1年后死亡率比较,差异有统计学意义（P〈0.05）;通过主动脉球囊反搏治疗后,患者的血流动力学好转,与术前比较差异有统计学意义（P〈0.05）;3例患者血小板计数进行性下降,2例球囊破裂,并未出现严重并发症。结论对急性冠状动脉综合征患者,特别是合并心源性休克或血流动力学不稳定的患者,采用主动脉球囊反搏治疗能够促进血流动力学状态的稳定,争取足够的时间为患者进行血运重建,进而降低死亡率。
Objective To explore the application effect of intra aortic balloon pump in elderly acute coronary syn-dromes. Methods 38 elderly patients with acute coronary syndromes in our hospital from October 2007 to April 2014 were selected as the research objects,for different condition and treatment,they were given intra aortic balloon pump treatment,the hemodynamics,complications,etc. before and after the treatment were observed. use of aortic balloon coun-terpulsation treatment, observation of hemodynamics, complications and so on. Results 5 cases （13.16%） were died in hospital,11 cases （28.9%） were died 1 year after discharge.The characteristics and prognosis of men and women in the two groups patients were compared,there was no statistically significant difference （P〉0.05）.The hospital mortality and mor-tality after 1 year of cardiac shock and non cardiac shock patients were compared,the difference was statistically signifi-cant （P〈0.05）.Through the aortic balloon counterpulsation after treatment,the patient’s hemodynamic improvement,com-pared with the preoperative,the difference was statistically significant （P〈0.05）.Platelet count progressive decline in 3 patients,2 cases of balloon burst,there was no serious complications. Conclusion In patients with acute coronary syn-dromes,especially combined cardiac shock or patients with hemodynamic instability,to adopt the intra aortic balloon pump treatment,can promote the stability of the hemodynamic status,and then get enough time for patients with reascu-larization,and reduce mortality.
出处
《中国当代医药》
2014年第30期53-55,共3页
China Modern Medicine
