[1]吴哲兵.硝普钠联合替罗非班冠状动脉内注射对急性心肌梗死急症PCI术后无复流的临床效果[J].介入放射学杂志,2019,28(02):156-158.
 WU Zhebing..Intracoronary injection of sodium nitroprusside combined with tirofiban for no- reflow after emergency PCI in acute myocardial infarction: observation of its clinical effect[J].journal interventional radiology,2019,28(02):156-158.
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硝普钠联合替罗非班冠状动脉内注射对急性心肌梗死急症PCI术后无复流的临床效果()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
28
期数:
2019年02期
页码:
156-158
栏目:
临床研究
出版日期:
2019-02-25

文章信息/Info

Title:
Intracoronary injection of sodium nitroprusside combined with tirofiban for no- reflow after emergency PCI in acute myocardial infarction: observation of its clinical effect
作者:
吴哲兵
Author(s):
WU Zhebing.
Section Ⅱ, Department of Cardiology, Pingdingshan Municipal First People’s Hospital, Pingdingshan, Henan Province 467000, China
关键词:
【关键词】 硝普钠 替罗非班 无复流 急性心肌梗死 血栓抽吸 经皮冠状动脉介入治疗 主要心血管不良事件
文献标志码:
A
摘要:
【摘要】 目的 探讨硝普钠联合替罗非班冠状动脉内注射对急性心肌梗死急症经皮冠状动脉介入治疗(PCI)后无复流的临床效果和安全性。方法 96例急性心肌梗死急症PCI术后梗死相关动脉无复流患者随机分为两组,A组(n=41,血栓负荷明确)予以血栓抽吸联合冠状动脉内注射硝酸甘油,B组(n=55,未见明显血栓负荷)予以冠状动脉内注射硝普钠联合替罗非班。比较两组患者基线资料、术前术后冠状动脉造影结果,术后30 d超声心动图测定左心室射血分数(LVEF)、左心室舒张末内径(LVEDD),术后3个月内随访主要心血管不良事件(MACE)发生情况。结果 两组患者术前靶血管冠状动脉造影结果比较,差异无统计学意义(P>0.05);术后复查造影结果比较,差异有统计学意义(P<0.05)。两组术后30 d超声心动图测定LVEF、LVEDD比较,差异无统计学意义(P>0.05);术后3个月内MACE发生比较,差异有统计学意义(P<0.05)。结论 硝普钠联合替罗非班冠脉内注射能有效改善急性心肌梗死患者急症PCI术后无复流,改善近期心功能。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2018-03-01)
(本文编辑:边 佶)
更新日期/Last Update: 2019-02-20