| 陶翠 康健 张妮 陈黎明 徐兰英.经皮冠脉介入手术时机的选择对急性心肌梗死患者左室重构及心功能的影响[J].,2016,16(26):5172-5174 |
| 经皮冠脉介入手术时机的选择对急性心肌梗死患者左室重构及心功能的影响 |
| Effects of Operation Opportunity on Left Ventricular Remodeling and HeartFunction of Patients with Acute Myocardial Infarction after PercutaneousCoronary Intervention |
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| DOI： |
| 中文关键词: 急性心肌梗死 经皮冠脉介入术 心功能 左室重构 手术时机 |
| 英文关键词: Acute myocardial infarction Percutaneous coronary intervention Heart function Left ventricular remodeling Operation
opportunity |
| 基金项目:辽宁省科技厅计划项目(2013226012) |
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| 中文摘要: |
| 目的：探讨手术时机的选择对急性心肌梗死患者行经皮冠脉介入手术后左室重构及心功能的影响。方法：选择2014 年10 月
-2015 年10 月在我院接受经皮冠脉介入手术治疗的97 例急性心肌梗死患者为研究对象，根据手术时间不同将患者分为急诊手
术组（49 例）和择期手术组（48 例）。观察并比较两组患者手术前后平均二尖瓣压力差（mMPG）、肺动脉平均压（mPAP）、左室舒张
末径（LVDEd）、左室收缩末径（LVSEd）、左房内径（LAd）以及半年内心衰再住院率。结果：手术前，两组患者心功能及血流动力学
各指标比较，差异均无统计学意义（P>0.05）；手术后，两组患者LVDEd，LVSEd 及LAd 均低于手术前，且急诊手术组患者
LVDEd，LVSEd 及LAd 均低于择期手术组，差异具有统计学意义（P<0.05）；手术后，两组患者mMPG及mPAP 均低于手术前，且
急诊手术组患者mMPG及mPAP均低于择期手术组，差异具有统计学意义（P<0.05）；急诊手术组患者术后6 个月心衰再住院率
（2.04%）低于择期手术组（6.25%），差异具有统计学意义（P<0.05）。结论：手术时机的选择对于行经皮冠脉介入手术的急性心肌梗
死患者具有重要意义。与择期手术效果相比，急诊手术能够更好地改善患者的心功能及左室重构，减少心衰再住院率，值得在临
床推广应用。 |
| 英文摘要: |
| Objective:To investigate the effect of the timing of surgery on left ventricular remodeling and cardiac function after
percutaneous coronary intervention in patients with acute myocardial infarction.Methods:97 cases with acute myocardial infarction who
had taken the percutaneous coronary interventional surgery in our hospital from October 2014 to October 2015 were selected as the
research objects, and according to the different operation time, the patients were divided into the emergency surgery group (49 cases) and
the selective surgery group (48 cases). Then the LVDEd, LVSEd, LAd, mMPG and mPAP of patients in the two groups before and after
the operation were observed and compared.Results:There was no statistically significant difference about the hemodynamics and heart
functions of patients in the two groups before the operation (P>0.05); After the operation, the LVDEd, LVSEd and LAd in the two groups
decreased, and the emergency surgery group was lower than that of the selective surgery group, and the difference was statistically
significant (P<0.05); After the operation, the mMPG and mPAP in the two groups decreased, and the emergency surgery group was lower
than that of the selective surgery group, and the difference was statistically significant (P<0.05); The six-months' readmission rate of the
emergency surgery group was 2.04%, which was lower than 6.25% in the selective surgery group, and the difference was statistically
significant (P<0.05).Conclusion:The operation opportunity of percutaneous coronary intervention for patients with acute myocardial
infarction is very important. Compared with the selective surgery, the emergency surgery can improve the cardiac function and left
ventricular remodeling, reduce the rate of readmission, and it is worthy of clinical application. |
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