摘要
目的:对血栓抽吸术联合替罗非班在急性ST段抬高性心肌梗死高血栓负荷患者中的临床应用效果予以探讨。方法:随机选取我院2016年2月至2017年8月间收治的急性ST段抬高性心肌梗死高血栓负荷患者40例,将其随机均分为对照组(替罗非班)与观察组(替罗非班+血栓抽吸术)。结果:两组患者住院期间不良事件发生率、出血性并发症、术后ST段回落程度、术后心肌灌注分级、心肌梗死血管血流变化存在明显差异,且差异具有统计学意义。结论:将替罗非班联合血栓抽吸术应用于急性ST段抬高性心肌梗死高血栓负荷患者的治疗中,能够取得良好的临床治疗效果,并且安全可靠,值得在临床应用中推广。
Objective:To explore the effect of clinical application of thrombus aspiration combined with tirofiban in patients with high thrombotic load of acute ST-elevation myocardial infarction.Methods:40 patients with high thrombotic load acute ST-segment elevation myocardial infarction admitted from February 2016 to August 2017 were randomly selected and divided into control group(tirofiban)and observation group(tirofiban plus thrombus aspiration).Results:The incidence of adverse events,hemorrhagic complications,postoperative ST-segment depression,postoperative myocardial perfusion grading,myocardial blood flow changes in the two groups of patients were significantly different.Conclusion:Tirofiban combined thrombus aspiration for the high thrombotic load treatment in patients with high thrombotic load acute ST-elevation myocardial infarction,can achieve favorable clinical effect,which is safe and reliable,worthy of promotion in clinical application.
作者
孙志华
孙淑艳
SUN Zhihua;SUN Shuyan(Department of Cardiology, The First Affiliated Hospital of Baotou Medical College, Baotou 014010, China)
出处
《包头医学院学报》
CAS
2018年第11期1-2,共2页
Journal of Baotou Medical College
基金
内蒙古自然科学基金(2014MS0870)
关键词
血栓抽吸术
替罗非班
急性ST段抬高
心肌梗死
高负荷
Thrombus aspiration
Tirofiban
Acute ST segment elevation
Myocardial infarction
High load
