中国临床保健杂志2016,Vol.19Issue(1):63-65,3.DOI:10.3969/J.issn.1672-6790.2016.01.021
血栓抽吸与替罗非班的不同应用顺序对急诊经皮冠状动脉介入术后慢血流或无复流的影响
Influence of slow/no -reflow after different sequences of thrombus aspiration and tirofiban in primary percu-taneous coronary interventions
程昭栋 1杨体霞 1周利民 1王三刚1
作者信息
- 1. 安徽滁州市第一人民医院心血管内科,239000
- 折叠
摘要
Abstract
Objective To compare the clinical influence of slow/no -reflow after different sequences of thrombus aspiration and tirofiban in primary percutaneous coronary interventions for acute myocardial infarction.Method Ninety -seven cases of acute STEMI patients were randomly divided into treatment grop (n =49,intracoronary use of tirofiban before thrombosis suction)and control group (n =48,thrombosis suction before intracoronary use of tirofiban) by computer.The occurrence rate of slow/no -reflow,left ventricular ejection fraction(LVEF),major adverse cardiovas-cular events(MACE)and bleeding events after PCI were compared between two groups.Results There was no signifi-cance between treatment and control group in the occurrence rate of slow/no -reflow ),LVEF,MACE and bleeding e-vents were no significant difference between two groups after treatment(P >0.05).Conclusion The two ways of intra-coronary use of tirofiban and thrombus aspiration are safe and effective for preventing slow/no -reflow,and improve my-ocardial perfusion and prognosis in the near future.关键词
心肌梗死/血管成形术,气囊,冠状动脉/机械溶栓/替罗非班/无复流现象Key words
Myocardial infarction/Angioplasty,balloon,coronary/Mechanical thrombolysis/Tirofiban/No-re-flow phenomenon分类
医药卫生引用本文复制引用
程昭栋,杨体霞,周利民,王三刚..血栓抽吸与替罗非班的不同应用顺序对急诊经皮冠状动脉介入术后慢血流或无复流的影响[J].中国临床保健杂志,2016,19(1):63-65,3.