摘要
目的探讨急诊介入联合主动脉内球囊反搏(Intra-aortic balloon pump或Intraaortic Balloon Counterppulsation,IABP)治疗急性心肌梗死合并心源性休克的临床效果。方法选取2012年2月~2017年1月在我院确诊的急性心肌梗死合并心源性休克患者40例作为研究对象,采用随机分组的方式分为对照组和实验组,每组20例。实验组在IABP支持下,实施急诊经冠状动脉介入术,对照组实施急诊经冠状动脉介入术。治疗后比较两组患者的临床指标变化情况及出现并发症概率、死亡率。结果治疗后两组患者心排血量、平均动脉压、心脏指数、左室射血分数、每搏输出量等指标上升,肌酸激酶同工酶、心肌肌钙蛋白和心率指标均降低,两组治疗后结果对比差异有统计学意义(P<0.05),且治疗后实验组患者的指标改善幅度明显优于对照组;实验组患者预后出现并发症概率显著低于对照组,且死亡率明显低于对照组,差异有统计学意义(P<0.05)。结论急诊介入联合IABP治疗急性心肌梗死合并心源性休克的临床效果显著,值得在临床上推广应用。
Objective To investigate the clinical effect of emergency intervention combined with intra-aortic balloon pump （IABP） in the treatment of acute myocardial infarction complicated with cardiogenic shock. Methods 40 patients with acute myocardial infarction and cardiogenic shock diagnosed in our hospital from February 2012 to January 2017 were selected as the study objects and randomly divided into control group（n=20） and experimental group（n=20）. The patients in the experimental group underwent emergency PCI under the support of IABP. The patients in the control group were treated with emergency PCI. After treatment, the clinical indicators the probability of complications and mortality between the two groups were compared. Results The indicators cardiac output, mean arterial pressure, cardiac index, left ventricular ejection fraction and stroke volume after treatment were increased, and the creatine kinase isoen- zyme, cardiac troponin and heart rate index were decreased, there was signifeant difference between the two groups af- ter treatment （P〈0.05）. The improvement magnitude in the experimental group was better than that in the control group after treatment. The probability of complications in the prognosis of patients in the experimental group was significantly lower than that in the control group, and the mortality in the experimental group was significantly lower than that in the control group. There was significant difference between the two groups（P〈0.05）. Conclusion The emergency intervention combined with IABP in the treatment of acute myocardial infarction complicated with cardiogenic shock has significant clinical effect and is worthy of popularizing in clinic.
出处
《中国现代医生》
2017年第36期98-100,104,共4页
China Modern Doctor
