血栓抽吸在急性ST段抬高型心肌梗死患者直接经皮冠状动脉介入治疗中的应用价值

Application value of thrombus aspiration in direct percutaneous coronary intervention for acute ST-segment elevation myocardial infarction

目的探讨血栓抽吸在急性ST段抬高型心肌梗死(STEMI)患者直接经皮冠状动脉介入治疗(PCI)中的应用价值。方法选择本院收治的104例急性STEMI患者,采用分层随机法将其分为对照组与观察组,各52例。对照组采用常规PCI治疗,观察组在对照组的基础上应用血栓抽吸疗法。比较两组的治疗效果。结果治疗1个月后,两组BNP水平、LVEDD均降低,LVEF均升高,且观察组均优于对照组(P<0.05)。观察组ST段恢复率、TMPG2~3级率均高于对照组(P<0.05)。结论血栓抽吸可有效提高急性STEMI患者PCI治疗的预后质量。

Objective To investigate the application value of thrombus aspiration in direct percutaneous coronary intervention(PCI)for acute ST-segment elevation myocardial infarction(STEMI).Methods A total of 104 patients with acute STEMI admitted in our hospital were selected and randomly divided into control group and observation group,with 52 cases in each group.The control group was treated with routine PCI,while the observation group was treated with thrombus aspiration therapy on the basis of the control group.The therapeutic effects of the two groups were compared.Results After one month of treatment,BNP level and LVEDD decreased,LVEF increased in both groups,and those in the observation group were better than the control group(P<0.05).The recovery rate of ST segment and TMPG grade 2-3 in the observation group was higher than that in the control group(P<0.05).Conclusion Thrombus aspiration can effectively improve the prognosis of patients with acute STEMI treated by PCI.