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目的:观察血管抽吸术对ST-T抬高急性心肌梗死患者的影响。方法:回顾性分析32例ST-T抬高性急性心肌梗死,16例行抽吸导管治疗并行支架植入术,16例行单纯支架植入术治疗,观察术后1h、3h、24h、3d、7d心电图ST-T段改变。结果:抽吸导管治疗并行支架植入术1h、3h、24h、3d的心电图ST-T段回落明显大于单纯支架植入术治疗(P<0.05);7d心电图无明显差异(P>0.05)。结论:血管抽吸术对ST-T段抬高心肌梗死的心电图短期改变优于单纯支架植入术治疗,长期无明显差异。
Objective: To observe the effect of aspiration on ST-T elevated acute myocardial infarction patients. Methods: Thirty-two patients with ST-T elevation acute myocardial infarction were retrospectively analyzed. Sixteen patients underwent aspiration catheterization and sixteen patients underwent stenting alone. The durations of acute myocardial infarction were observed at 1h, 3h, 24h, 3d 7d ECG ST-T segment changes. Results: The fall of ST-T electrocardiogram at 1h, 3h, 24h and 3d after suction catheter treatment was significantly greater than that of stent-graft alone (P <0.05). There was no significant difference on 7d electrocardiogram (P> 0.05). Conclusion: The short-term changes of electrocardiogram of vascular aspiration in ST-T-segment elevation myocardial infarction is better than that of stent-graft alone. There is no significant difference in long-term.