不同血栓抽吸方法治疗急性ST段抬高心肌梗死的比较

目的：探讨不同血栓抽吸方法治疗急性ST段抬高心肌梗死的临床疗效。方法随机选取2011—2015年在该院就诊的90例急性ST段抬高心肌梗死患者作为研究的对象给患者行经皮冠状动脉介入治疗(PCI)在手术中采用抽吸导管抽吸血栓。所有患者在手术中使用手动抽吸导管，并将患者使用抽吸方式的不同分为3个小组：A组(单独Diver抽吸导管抽吸)、B组(单独Export抽吸导管抽吸)和C组(两种导管组合)，每组各30例患者，比较3组患者血流分级(TIMI)以及治疗半年后心血管并发症的发生率。结果经皮冠状动脉介入术中3组患者的血流分级0级的患者C组患者5例，占16.7%，其余各组在术前和术后血流分级差异无统计学意义，P>0.05。结论血栓抽吸导管组合的方式治疗急性ST段抬高心肌梗死患者不能有效的降低患者的发病率。

Comparison of Different Methods of Thrombus Aspiration in the Treatment of Acute ST Segment Elevation Myocardial Infarction

Objective To investigate the clinical efficacy of different thrombus aspiration method for treatment of acute ST elevation myocardial infarction. Methods Randomly selected in 2011 to 2015 in our hospital 90 patients with acute ST seg-ment elevation myocardial infarction patients as the object of study to patients with percutaneous coronary intervention (PCI) in surgery using suction catheter suction vampire suppository. All patients in surgery using manual aspiration catheter and patients using suction were divided into three groups:group A (separate diver suction aspiration catheter), group B (separate export aspiration catheter aspiration) and group C(two catheter combined), each group each 30 patients, 3 groups were com-pared with flow grade (TIMI) and half a year after treatment of cardiovascular complications incidence. Results Percuta-neous coronary intervention in the 3 groups of patients with grade 0 blood flow in patients with C group of 5 patients, ac-counting for 16.7%, the rest of the group before and after the blood flow classification no significant difference, P > 0.05. Conclusion Thrombus aspiration catheter combination treatment in patients with acute ST segment elevation myocardial in-farction patients can not effectively reduce the incidence of patients.