摘要
目的探讨主动脉球囊反博(IABP)联合急诊经皮冠状动脉介入术(PCI)治疗急性心肌梗死合并心源性休克患者的临床效果。方法选取2020年1—12月本院收治的84例急性心肌梗死合并心源性休克患者作为研究对象,依据随机数字表法分为对照组和观察组,各42例。对照组实施急诊PCI治疗,观察组实施急诊PCI+LABP治疗。比较两组治疗前后血流动力学、尿量及心源性休克相关指标(BNP、hsCRP、cTnⅠ)。结果治疗前,两组患者中心静脉压、平均动脉压、尿量水平比较差异无统计学意义;治疗后,观察组中心静脉压低于对照组,平均动脉压、尿量水平均高于对照组(P<0.05);治疗前,两组脑钠肽(BNP)、超敏C反应蛋白(hs-CRP)、肌钙蛋白Ⅰ(cTnⅠ)水平比较差异无统计学意义;治疗后,观察组BNP、hs-CRP、cTnⅠ水平均低于对照组(P<0.05)。结论对急性心肌梗死休克患者实施IABP+急诊PCI治疗,与单纯实施急诊PCI比较,可改善患者血流动力学及心源性休克状态,效果显著。
Objective To investigate the clinical effect of aortic balloon anti-blood(IABP) combined with emergency percutaneous coronary intervention(PCI) in the treatment of patients with acute myocardial infarction and cardiogenic shock.Methods 84 patients with acute myocardial infarction combined with cardiogenic shock in our hospital from January to December 2020 were selected as the research subjects,according to the random number table method,they were divided into control group and observation group,with 42 cases in each group.The control group received emergency PCI,and the observation group received emergency PCI+LABP.The hemodynamics,urine output and cardiogenic shock-related indexes(BNP,hs-CRP,cTnⅠ) were compared between the two groups before and after treatment.Results Before treatment,there was no statistically significant difference in central venous pressure,mean arterial pressure,and urine output between the two groups;after treatment,the central venous pressure of the observation group was lower than that of the control group,and the mean arterial pressure and urine output were higher than those of the control group(P<0.05).Before treatment,there was no significant difference in the levels of brain natriuretic peptide(BNP),high-sensitivity C-reactive protein(hs-CRP),and troponin Ⅰ(cTn Ⅰ) between the two groups;after treatment,the levels of BNP,hs-CRP and c Tn Ⅰ in the observation group were lower than those in the control group(P<0.05).Conclusion IABP + emergency PCI treatment for patients with acute myocardial infarction shock can improve the hemodynamics and cardiogenic shock status of patients compared with emergency PCI alone,and the effect is significant.
作者
徐博
XU Bo(Department of Emergency,Benxi Central Hospital,Benxi,Liaoning,117000,China)
出处
《当代医学》
2022年第8期37-39,共3页
Contemporary Medicine
关键词
急性心肌梗死休克
主动脉球囊反博
经皮冠状动脉介入术
Acute myocardial infarction shock
Aortic balloon reversal
Percutaneous coronary intervention
