主动脉内球囊反搏辅助冠状动脉内介入术对预后的影响.docVIP

主动脉内球囊反搏辅助冠状动脉内介入术对预后的影响 　　[摘 要] 目的 观察急性心肌梗死（AMI）合并心力衰竭患者应用 　　主动脉球囊反搏术（IABP）辅助冠状动脉内介入术（PCI）对预后的影响? 　　方法 选取急诊入院AMI合并心力衰竭患者共计30例，其中IABP组14例，均 　　在 　　IABP辅助下行急诊PCI术；对照组16例，应用升压药后行急诊PCI术?比较两组患者入院时? 　　术后3天及6个月时超声心动图及血浆肌钙蛋白（cTnI）?B型脑钠肽（BNP）水平? 　　结果 IABP组与对照组入院时左心室功能指标及血浆cTnI?BNP水平无统计 　　学意义（P0.05），但发病3天及6个月IABP组BNP水平显著低于对照组（P0.05 　　），发病第3天IABP组血浆cTnI水平显著低于对照组（P0.05）?超声心动图示左心室 　　功能指标IABP组显著优于对照组（P0.05）? 　　结论 IABP辅助PCI能显著改善AMI合并心力衰竭患者心功能及预后? 　　[关键词] 主动脉内球囊反搏；心肌梗死；心力衰竭 　　中图分类号：R541.4 　　文献标识码：A 文章编号：1009-816X 　　（2013）06-0433-03 　　doi：10.3969/j.issn.1009-816X.2013.06.03 　　Effects on Prognosis of Percutaneous Coronary Intervention with the Assist of In 　　tra-aortic Balloon Pump. 　　HU Long-cai， YANG Bo. Department of Cardiology， Peop 　　les Hospital of Wuhan University， Hubei 430060， China 　　[Abstract] Objective 　　To investigate the effects on prognosis of percutaneous c 　　oronary intervention （PCI） with the assist of intra-aortic balloon pump （IABP） 　　among patients with acute myocardial infarction （AMI） combined with pump failure 　　. 　　Methods 　　30 patients with AMI combined with pump failure that underwent prima 　　r 　　y PCI were randomly divided into two groups： the IABP group （n=14） received PCI 　　supported by IABP and the control group （n=16） received emergency PCI after pres 　　sor agent. The ultrasonic indexes and the serum cardiac troponin I （cTnI） and b 　　r 　　ain natriuretic polypeptide （BNP） levels were measured on admission， 3 days， 6 m 　　onths and after admission. 　　Results 　　The ultrasonic indexes， the serum cTnI and BN 　　P levels did not show significant differences between the two groups on admissio 　　n （P0.05）. However， in the third day and the sixth month， compared with c 　　ontrol 　　group， the IABP group significantly improved on the ultrasonic cardiogra 　　m indexes， the serum cTnI and BNP levels （P0.05）. The serum cTnI level wa 　　s sign 　　ificantly lower in the IABP group than that in the control group at the third da