完全血运重建与部分血运重建对心肌梗死合并心功能不全患者左室功能影响的对比分析

A clinical comparison of complete re-flow with partial re-flow on offectioh of Patients with MI accompany with HF's LVSF.

目的探讨完全血运重建与部分血运重建对心肌梗死(以下简称心梗,MI)合并心功能不全患者左室功能的不同改善程度,以评价对预后的影响。方法选择57例心梗合并心功能不全病例,随机分为完全血运重建蛆及部分血运重建组,分别于术前进行小剂量多巴酚丁胺负荷试验评价存活心肌后进行经皮冠状动脉血运重建术(PCI)治疗,22例进行完全血运重建 PCI 治疗,另35例进行部分血运重建 PCI 治疗,并于术前、术后运用超声心动图(UCG)测定左室功能指标左室射血分数(LVEF)、左室室壁运动记分指数(WMSI)、A/V、左室舒张末内径(LVED)进行对比分析。结果完全血运重建组对左室功能的改善显著优于部分血运重建组,差异有显著性意义(P<0.01或 P<0.05)。结论完全血运重建对心梗合并心功能不全病例的左心室功能的改善具有临床意义,可显著改善左室功能,改善预后。

Objective To explore the different effects of patiants with Myocardial infarction(MI)accompany with HF's LSVF and the prognosis between complete reftow and partial reflow.Methods 57 cases with MI accompany with HF were randomly divided into 2 groups:complete reflow group and partial reflow group.The two groups were done low-dose Dobutamine loading experiment seperately before operations.22 cases were treated by complete tallow using PCI,other 35 Patients were dealed with Partial reflow using PCI.To contrast the data of LVSF,WMSI,A/V and LVED between the two groups with UCG before and after PCI.Results The complete reflow group was obviously more arailable than the partial group.Conclusion The complete reflow can improve LVSF of the paticnts with MI accompany with HF.