中南医学科学杂志2025，Vol.53Issue(3)：450-453,4.DOI:10.15972/j.cnki.43-1509/r.2025.03.017
IABP对急性心肌梗死合并心源性休克患者PCI术后预后的影响
Effect of IABP on prognosis of patients with acute myocardial infarction complicated by car-diogenic shock after PCI
摘要
Abstract
Aim To analyze the impact of intra-aortic balloon pump(IABP)on the prognosis of acute myocardial infarction(AMI)patients with cardiogenic shock(CS)who underwent percutaneous coronary intervention(PCI).Methods A total of72 AMI patients with CS who underwent PCI were enrolled and divided into the death group(n=19)and survival group(n=53)based on 3-month prognosis,or the IABP group(n=36)and non-IABP group(n=36)according to preoperative IABP placement.Clinical data were compared between groups.Multivariate Logistic regression was used to analyze risk factors for mortality,and Kaplan-Meier method was applied for survival analysis.Results Significant differences were observed between IABP and non-IABP groups,or between survival and death groups,in terms of cardiac dysfunction,AMI history,anterior wall myocardial infarction,infarct size,mean arterial pressure,hospital stay,and post-AMI acute kidney injury(P＜0.05).Pre-AMI renal dysfunction showed significant difference between IABP and non-IABP groups(P＜0.05).Age,diabetes mellitus,and onset-to-intervention time significantly dif-fered between survival and death groups(P＜0.05).Age,post-AMI acute kidney injury,and anterior wall myocardial infarction were identified as risk factors for poor prognosis,while IABP placement served as a protective factor(P＜0.05).The IABP group demon-strated lower mortality rate and longer survival time than the non-IABP group(P＜0.05).Conclusion IABP can significantly im-prove the prognosis of AMI patients with CS after PCI,providing valuable clinical guidance.关键词
PCI/急性心肌梗死/心源性休克/IABP/预后Key words
PCI/acute myocardial infarction/cardiogenic shock/IABP/prognosis分类
医药卫生引用本文复制引用
李馨,王坡,程国杰..IABP对急性心肌梗死合并心源性休克患者PCI术后预后的影响[J].中南医学科学杂志,2025,53(3):450-453,4.基金项目
北京市卫生健康科技成果项目(BHTPP2022038) （BHTPP2022038）
