IABP治疗急性心肌梗死伴心源性休克的应用及观察

IABP treatment of acute myocardial infarction with the application of cardiac shock and observation

目的:探讨主动脉内球囊反搏术(IABP)在治疗急性心肌梗死伴心源性休克中的应用及疗效。方法:抽取急性心肌梗死伴心源性休克患者42例,按入院顺序随机分为两组,对照组(21例)用急诊冠脉介入治疗,实验组(21例)急诊冠脉介入治疗治理的前提下,合并主动脉内球囊反搏术治疗,观察两组治疗效果。结果:采用IABP治疗后,两组收缩压、舒张压及平均动脉压均有所上升,实验组上升幅度明显高于对照组,差异具有统计学意义(P<0.05)。结论:急性心肌梗死伴心源性休克患者采用急诊冠脉介入时,引用主动脉内球囊反搏术能减少血管闭塞率,降低患者病死率,值得临床医生大力推广。

Objective：IABP（intraaortic balloon counterpulsation） in the treatment of acute myocardial infarction associated with the application and effect of cardiac shock.Methods：our hospital with acute myocardial infarction with 42 patients with cardiac shock,according to admission order were randomly divided into two groups：control group（n=21） in emergency coronary intervention,the experimental group（n=21） under the premise of emergency coronary intervention treatment,combined treatment of intraaortic balloon counterpulsation,observe two groups of treatment effect.Results：IABP after treatment,two groups of systolic pressure,diastolic pressure and mean arterial pressure were increased,the experimental group rise significantly higher than the control group,difference has statistical significance（P0.05）.Conclusion：patients with acute myocardial infarction associated with cardiac shock using emergency coronary intervention,reference intraaortic balloon counterpulsation technique can reduce the rate of vascular occlusion,reduce patient mortality,worthy of clinical doctors promoting.