经桡动脉血栓抽吸在急性冠状动脉综合征急诊PCI患者中的应用效果

Application effect of trans-radial artery thrombus aspiration in emergency PCI patients with acute coronary syndrome

目的分析经桡动脉血栓抽吸在急性冠状动脉综合征(ACS)急诊PCI患者中的应用效果。方法选取2013年10月至2016年4月在我院接受急诊PCI治疗的ACS患者70例作为研究对象,将所有患者随机分为两组,各35例。观察组采用经桡动脉血栓抽吸术治疗,对照组术中仅采用支架置入术,未给予血栓抽吸治疗,比较两组患者治疗前、后心功能水平及不良心脏事件发生率。结果治疗后,两组的LVEDD、LVEF水平均明显优于治疗前,且观察组明显优于对照组(P<0.05)。观察组患者心力衰竭及再发心肌梗死的发生率均明显低于对照组(P<0.05);两组患者猝死发生率比较,差异不明显(P>0.05)。结论经桡动脉血栓抽吸在治疗急性冠状动脉综合征急诊PCI患者中具有较好的临床疗效,可有效降低血栓破裂或再次堵塞的几率,同时可有效提高患者心功能水平,降低不良心脏事件的发生率,安全性较高,值得临床推广。

Objective To analyze the application effect of trans-radial artery thrombus aspiration in emergency percuta- neous coronary intervention （PCI） patients with acute coronary syndrome （ACS）. Methods Seventy ACS patients who re- ceived emergency PCI treatment in our hospital from October 2013 to April 2016 were selected and randomly divided into two groups, with 35 cases in each group. The observation group received trans-radial artery thrombus aspiration, while the control group was given stent implantation without thrombus aspiration. The cardiac function state before and after treat- ment and incidence of adverse cardiac events in the two groups were compared. Results After treatment, the levels of LVEDD and LVEF in the two groups were significantly better than those before treatment, and those in the observation group were obviously better than the control group （P〈0.05）. The incidence rate of heart failure and recurrent myocardial infarction in the observation group were significantly lower than those in the control group （P〈0.05）. The incidence rates of sudden death in the two groups was not significantly different （P〉0.05）. Conclusion Trans-radial artery thrombus aspiration in the treatment of emergency PCI patients with ACS has better clinical efficacy, it can effectively decrease the incidence of thrombus rupture and block again, improve cardiac function level, reduce the incidence of adverse cardiac events and has higher safety, which is worthy of promotion in clinic.