IABP在重症急性心肌梗死患者行经皮冠状动脉介入治疗中的应用价值

Application of IABP in Patients with Severe Acute Myocardial Infarction with Percutaneous Coronary Intervention

目的探讨IABP在重症急性心肌梗死患者行经皮冠状动脉介入治疗中的应用价值。方法回顾性分析2016年2月-2017年2月我院收治的30例行IABP经皮冠状动脉进行介入治疗的重症急性心肌梗死患者,观察其在接受治疗前后平均动脉压、多巴胺用量和尿量等各项指标的变化。结果患者在治疗后各项指标较治疗前均有明显改善(P<0.05);患者在治疗后血流动力学指标变化明显,较治疗前均有明显改善(P<0.05);患者并发症发生较少。结论 IABP在重症急性心肌梗死患者行经皮冠状动脉介入治疗中安全有效,显著降低了患者并发症的发生率和住院期间病死率,值得在临床上推广应用。

Objective To explore the application value of IABP in the treatment of percutaneous coronary intervention in patients with severe acute myocardial infarction.Methods A retrospective analysis in February 2016 to February 2017 of our hospital 30 routine IABP percutaneous coronary artery intervention treatment of critically ill patients with acute myocardial infarction,before and after treatment the mean arterial pressure,dosage of dopamine,and the change of the indicators such as urine were compared.Results All the indicators were significantly improved after treatment(P<0.05).The hemodynamic indexes of patients after surgery were improved before treatment(P<0.05).There were less complications in all the patients.Conclusion IABP in patients who suffer severe acute myocardial infarction in coronary artery interventional therapy is safe and effective,worthy of popularization and application in clinic.