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目的评价急性ST段抬高性心肌梗死患者急诊经皮冠状动脉介入(PCI)治疗中应用替罗非班与抽吸导管对慢血流的影响。方法 2009-01-2010-10开封市第二人民医院共80例急性ST段抬高型心肌梗死冠脉造影后血栓负荷重的急诊PCI患者进入研究,治疗组30例给予替罗非班与血栓抽吸,再行PCI术,对照组30例直接给予急诊PCI术。比较两组间介入治疗术后对慢血流的影响。结果两组间的血管开通率均为100%,发生慢血流为3.6%和15.4%,治疗组优于对照组,两组均无严重出血事件发生。结论急性ST段抬高型心肌梗死急诊PCI中应用盐酸替罗非班与抽吸导管,可以改善术后梗死相关动脉慢血流现象。
Objective To evaluate the effect of tirofiban and aspiration catheter on the slow blood flow in patients with acute ST-segment elevation myocardial infarction who underwent percutaneous coronary intervention (PCI). Methods A total of 80 emergency PCI patients with acute thrombocytopenia after coronary angiography were enrolled in the Second People ’s Hospital of Kaifeng City. Thirty patients in the treatment group were given tirofiban and thrombus Suction, and then PCI, 30 cases of the control group were given emergency PCI. The effect of interventional therapy on the slow blood flow was compared between the two groups. Results The rate of blood vessel opening between the two groups was 100%, and the slow blood flow was 3.6% and 15.4%. The treatment group was better than the control group, and no severe bleeding occurred in both groups. Conclusions The application of tirofiban hydrochloride and aspiration catheter in acute ST-segment elevation myocardial infarction can improve the postoperative infarction-related arterial slow blood flow.