重庆医学Issue(20)：2598-2599,2602,3.DOI:10.3969/j.issn.1671-8348.2014.20.020
早期使用替罗非班及抽吸导管对减少AMI急诊PCI无复流的疗效观察
Clinical observation on reducing no-reflow after PCI treatment by early using Tirofiban and suction catheter in AMI patients
鲁风云 1王枫岭 2何志奇 1孙冬瑞 1吕小宁1
作者信息
- 1. 河南省义煤集团公司总医院心内科，河南三门峡472300
- 2. 河南省胸科医院心内科，郑州450003
- 折叠
摘要
Abstract
Objective To study the effect of reducing no-reflow after PCI treatment by early using Tirofiban and suction catheter in AMI patients .Methods 76 cases of patients were divided into group A (38 cases) and group B(38 cases) .The group A began to use Tirofiban with suction catheter to aspiration after coronary guidewire entering ,the suction were used in group B when the thrombus burden became exacerbation after balloon dilation .In addition ,chosen 38 cases of AMI patients treated with Tirofiban af-ter balloon dilation as group C .The influence of different treatment options to no-reflow and slow blood flow ,cardiovascular adverse events and the incidence of bleeding were observed .Results Group A compared with other two groups ,the no-reflow and slow flow rate had statistically significant differences (P< 0 .05) ,but there was no statistically significant differencebetween group B and group C(P>0 .05) .After three different surgical treatments ,the incidence of bleeding complications had no significant difference (P>0 .05 .The occurrence of adverse cardiovascular events had statistically significant between A group and C (P<0 .05) ,but there was no statistically significant difference between group B and group C (P<0 .05) .Conclusion Three kinds of treatment all have certain effect to reduce no-reflow in emergency PCI of AMI ,but early use of tirofiban with suction catheter in treatment of emergen-cy treatment has great clinical significance to reduce no-reflow .This study provides an effective treatment plan to reduce no-reflow in PCI for AMI .关键词
替罗非班/抽吸导管/经皮冠状动脉介入治疗/急性心肌梗死Key words
tirofiban/suction catheter/percutaneous coronary intervention/acute myocardial infarction分类
医药卫生引用本文复制引用
鲁风云,王枫岭,何志奇,孙冬瑞,吕小宁..早期使用替罗非班及抽吸导管对减少AMI急诊PCI无复流的疗效观察[J].重庆医学,2014,(20):2598-2599,2602,3.
