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血塞通联合经皮冠状动脉介入治疗急性ST段抬高型心肌梗死临床研究
引用本文:刘化进.血塞通联合经皮冠状动脉介入治疗急性ST段抬高型心肌梗死临床研究[J].中国心血管病研究杂志,2018,16(8).
作者姓名:刘化进
作者单位:上海市奉贤区中心医院
摘    要:目的探讨血塞通联合经皮冠状动脉介入治疗急性ST段抬高型心肌梗死的临床效果。方法选取我院2016年10月-2017年10月期间收治的急性ST段抬高型心肌梗死患者120例,随机分为2组。对照组60例,给予经皮冠状动脉介入治疗,观察组60例,在对照组基础上给予血塞通治疗。比较两组术前、术后1d血清标志物水平、术后1d TIMI血流分级、术后1d心肌显色分级、术后7d血清炎性因子水平、术后1个月心功能水平,以及不良反应发生情况。结果治疗后,两组CKMB、cTnT、hs-CRP、PTX-3、BNP和LVEDD水平均降低,且观察组较对照组明显更低,差异有统计学意义(P<0.05);治疗后,两组TIMI血流分级、心肌显色分级和LVEF水平均升高,且观察组较对照组明显更高,差异有统计学意义(P<0.05);两组不良反应发生率相比,差异无统计学意义(P>0.05)。结论血塞通联合经皮冠状动脉介入治疗急性ST段抬高型心肌梗死疗效显著,能有效改善患者心肌供血,减轻炎症反应,改善患者心功能,且无明显不良反应,安全性较高,值得临床推广使用。

关 键 词:血塞通  经皮冠状动脉  急性ST段抬高型心肌梗死  炎症因子  心功能
收稿时间:2017/12/18 0:00:00
修稿时间:2018/6/11 0:00:00

Clinical study on Xuesaitong combined with percutaneous coronary intervention in treatment of acute ST-segment elevation myocardial infarction
Abstract:Objective To investigate the clinical effects of Xuesaitong combined with percutaneous coronary intervention (PCI) in treatment of acute ST-segment elevation myocardial infarction (STEMI). Methods 120 patients with acute STEMI admitted into our hospital from October 2016 to October 2017 were randomly divided into two groups, 60 cases in each group. Control group was given PCI, while observation group was treated with Xuesaitong based on control group. The preoperative and postoperative 1d serum markers levels, postoperative 1d TIMI flow grades, postoperative 1d myocardial blush grade, postoperative 7d inflammatory factors levels, postoperative one-month cardiac function and adverse reactions were compared between the two groups. Results After treatment, the levels of CKMB, cTnT, hs-CRP, PTX-3, BNP, LVEDD in two groups decreased, and observation group was lower than control group (P<0.05); After treatment, the TIMI flow grades, myocardial blush grade and LVEF levels in two groups increased, and observation group was higher than control group (P<0.05); There was no statistical difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion Xuesaitong combined with PCI in treatment of acute STEMI is effective, it can improve myocardial blood flow, reduce inflammatory response, improve cardiac function, have higher safety and no obvious adverse reactions, which is worthy of clinical application.
Keywords:Xuesaitong  percutaneous coronary  acute ST-segment elevation myocardial infarction  inflammatory factor  cardiac function
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