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iabp zhi ru bu tong shi ji dui ji xing guan mai zong he zheng he bing yan zhong xin shuai huan zhe pci jin qi liao xiao de ying xiang
Author(s): 
Pages: 2557-2559
Year: Issue:  15
Journal: The Journal of Practical Medicine

Keyword:  急性冠状动脉综合征主动脉球囊反搏术经皮腔内冠状动脉介入治疗近期疗效;
Abstract: 目的:探讨主动脉球囊反搏术(intra-aortic balloon pump,IABP)置入不同时机对急性冠脉综合征(acute coronary syndrome,ACS)合并严重心衰患者行经皮腔内冠状动脉介入治疗(percutaneous coronary intervention,PCI)近期疗效的影响.方法:60例ACS合并严重左心衰行PCI治疗患者,根据IABP置入时机的不同,分为PCI术前IABP置入组(A组,n=32)和PCI术后IABP置入组(B组,n=28).对比两组间PCI术后TIMI血流分级、IABP工作时间、PCI术后1周心功能情况及主要心血管事件的发生率.结果:A组TIMI血流情况优于B组;A组IABP机使用时间少于B组,且前者近期心功能改善情况优于后者;A组顽固性心肌缺血、恶性心律失常的发生率小于B组.两组对比差异有统计学意义(P<0.05).结论:PCI术前IABP及早置入能明显改善冠心病合并严重心衰患者的近期预后.
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