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目的:探讨急性心肌梗死介入治疗时临时起搏器的应用。方法:选择2013年5月~2015年5月期间我院收治的80例AMI行PCI治疗的患者作为研究对象,根据双盲法将其平均分为研究组与对照组,每组各40例。对照组患者应用PCI治疗,研究组在此基础上术前放置临床时起搏器。结果:研究组患者心血管相关事件的总发生率为37.5%,显著低于对照组的67.5%(P<0.05);研究组再灌注治疗后低血压的发生率为20.0%,显著高于对照组的5.0%(P<0.05)。结论:临时起搏器可以有效降低AMI患者PCI术后心血管相关事件的发生率,但临时起搏器所致的低血压应引起临床足够重视,以此保证治疗质量。
Objective: To investigate the application of temporary pacemaker in the interventional treatment of acute myocardial infarction. Methods: From May 2013 to May 2015, 80 patients with AMI undergoing PCI during our hospital from May 2013 to May 2015 were selected as study subjects. According to double-blind method, the patients were equally divided into study group and control group, 40 cases in each group. Control group patients with PCI treatment, the study group on the basis of preoperative placement of clinical pacemaker. Results: The overall incidence of cardiovascular related events in study group was 37.5%, which was significantly lower than 67.5% in control group (P <0.05). The incidence of hypotension after reperfusion in study group was 20.0%, significantly higher than that in control group 5.0% of the group (P <0.05). Conclusion: Temporary pacemaker can effectively reduce the incidence of cardiovascular related events in patients with AMI after PCI, but the hypotension caused by temporary pacemaker should pay enough attention to the clinical in order to ensure the quality of treatment.