主动脉内球囊反搏术（IABP）支持下急性重症心肌梗死的治疗效果观察

Observation of Intra-aortic Balloon Pump （IABP） Support the Treatment of Severe Acute Myocardial Infarction

目的分析与探讨主动脉内球囊反搏术对于急性重症心肌梗死的治疗效果与临床应用意义。方法选取本院2009年9月-2011年9月期间收治的急性重症心肌梗死患者共24例，随机分为2组各12例，观察组采用急性心肌梗死冠脉内介入术合并主动脉内球囊反搏术进行治疗，对照组采用急性心肌梗死冠脉内介入治疗。对比两组患者的治疗效果。结果观察组12例患者中立即改善病情的共6例，一个月后其左心室功能有明显改善的共5例．手术过程中未发生死亡病例，但一个月后有1例患者死亡，所有患者均未发生血管术后再闭塞。对照组12例患者中立即改善病情的共3例，一个月后左心室功能有明显改善的共3例，手术过程中死亡共1例，术后一个月死亡共3例，术后血管再闭塞共2例。对比两组患者的症状改善率、死亡率、血管再闭塞率有显著性差异，P〈0．05。结论对于急性重症心肌梗死患者在进行急诊冠脉介入治疗时，给予其主动脉内球囊反搏术进行治疗，不仅能够增加治疗的安全性。还能降低患者术中及术后一个月后的死亡率，并降低血管再闭塞的发生率，因此该方法值得在·临床上进行推广与应用。

Objective Analyzed the clinical application significance of IABP surgery treatment for severe acute myocardial infarction. Methods Selected 24 cases with severe acute myocardial infarction from September 2009 to September 2011,randomly divided into two groups each with 12 cases,observation group with acute myocardial infarction coronary intervention with IABP for treatment,control group with acute myocardial infarction coronary intervention treatment,compared two groups＂ clinical resuhs.Results Compared the two groups patients＂ symptom improvement rates, mortality,vascular reocclusion rate,there was a significant difference,P〈0.05.Conclusion IABP to treat severe acute myocardial infarction during emergency coronary intervention,can not only increase the treatment safety,but also to reduce the mortality in intraoperative and postoperative month, and reduce the vascular reocclusion incidence,worthy for promotion and clinical applications.