急性心肌梗死急诊介入治疗中血栓抽吸导管的应用效果

目的 探讨急性心肌梗死急诊经皮冠状动脉介入术(percutaneous coronary intervention,PCI)治疗中血栓抽吸导管的应用效果.方法 选取2016年6月至2018年6月本院收治的急性心肌梗死患者116例,采用刮刮卡法分为两组,每组58例.对照组行PCI治疗,观察组行血栓抽吸导管术治疗,比较两组...

Infiltration of thrombus aspiration catheter in emergency interventional treatment of acute myocardial infarction

Objective To investigate the effect of thrombus aspiration catheter in emergency percutaneous coronary intervention(PCI)for acute myocardial infarction.Methods 116 patients with acute myocardial infarction admitted to our hospital from June 2016 to June 2018 were selected.They were divided into two groups by scratch card method,with 58 cases in each group.The control group was treated with PCI,and the observation group was treated with thrombus aspiration catheter.The blood flow classification,cardiac function improvement effect and the occurrence of major adverse cardiac events were compared between the two groups.Results The proportion of blood flow 0-1 in the observation group was lower than that in the control group(P<0.05),and the proportion of grade 3 was higher than that in the control group(P<0.05).There was no statistical difference in the proportion of blood flow between the two groups.Before operation,there was no significant difference in LVEF and LVEDD between the two groups;after operation,LVEF and LVEDD in the observation group were better than those in the control group(P<0.05).One year after surgery,the incidence of recurrent myocardial infarction and heart failure in the observation group was lower than that in the control group(P<0.05),and there was no significant difference in the incidence of sudden death between the two groups.Conclusion The application of thrombus aspiration catheter in the emergency interventional treatment of acute myocardial infarction can effectively improve the patient's cardiac function,promote blood flow reperfusion recovery,and reduce major cardiac adverse events.