主动脉球囊内反搏对急诊PCI术后无复流的治疗作用观察

目的研究主动脉球囊内反搏（IABP）对急诊PCI术后无复流的治疗作用。方法选择2010年1月～2012年6月山东省诸城市人民医院心内科行急诊PCI术后无复流患者38例,根据患者意愿接受IABP术与否分为观察组（n=18）与对照组（n=20）,比较两组术后1周及1、3个月左室射血分数（EF值）;观察心脏不良事件发生情况。结果观察组患者应用IABP后EF值在术后1周（43.0±7.1）%]、3个月（50.0±6.3）%]时均优于对照组（40.0±6.6）、（43.0±9.4）%],差异有统计学意义（P〈0.05）;随访3个月,观察组心功能不全（35.0%）、死亡（25.0%）等心血管事件发生率低于对照组（5.6%、0）,差异均有统计学意义（均P〈0.05）。结论急诊PCI术后出现无复流现象时应用IABP降低了心功能损失,降低病死率,起到稳定病情、抑制病情恶化的补救作用。

Observation of the effect of intra-aortic ballon pump therapy in no-reflow after emergency PCI

Objective To study the effect of intra-aortic ballon pump（IABP） therapy in no-reflow after emergency PCI.Methods 38 patients with no-reflow after primary PCI from January 2010 to June 2012 in the People＇s Hospital in Zhucheng City were chosen and divided into observation group（n = 18） and control group（n = 20） according to the patients＇ wishes of receiving IABP or not.Left ventricular ejection fraction（EF value） in the two groups 1 week and 1, 3 months after the operation were compared;occurrence situation of adverse cardiac events were observed.Results EF value in observation group 1 week （43.0±7.1）%] and 3 months （50.0±6.3）%] after IABP were all better than those in control group （40.0±6.6）,（43.0±9.4）%],the differences were all statistically significant（P 0.05）;cardiac insufficiency occurrence rate（35.0%） and mortality rate（25.0%） in observation group were all lower than those in control group（5.6%,0） after 3 months＇ following-up,the differences were all statistically significant（P 0.05）.Conclusion IABP after emergency PCI in no-reflow phenomenon patients can reduce the loss of heart function and mortality,it can stabilize patients＇ conditions,the remedial effects and inhibition of disease progression.