主动脉球囊反搏在前降支近端病变经皮冠状动脉介入治疗术中的应用Application of intra-aortic balloon pump in the left anterior descending coronary artery proximal lesion PCI
刘胜全,宋炳慧,李艳红,黎辉
摘要(Abstract)：
目的将主动脉内球囊反搏(IABP)应用于前降支(LAD)近端病变经皮冠状动脉内支架置入术中,探讨其对患者术中及预后影响。方法收集从2007年1月至2010年12月因LAD近端病变行经皮冠状动脉介入治疗术(PCI)者880例,其中将应用IABP的544例作为IABP组,余未应用IABP的336例为对照组,比较两组术中、术后情况。结果 IABP组术中并发症及住院期间心血管事件总发生率低于对照组,两者比较差异均有统计学意义(χ2=4.12,P<0.05);IABP组术后6个月、12个月左心室舒张末内径(52.23±3.00)mm、(52.80±2.65)mm明显小于对照组(54.06±4.01)mm、(54.86±4.39)mm,术后1个月、6个月、12个月左心室射血分数(51.92±4.16,53.46±4.33,53.88±4.32)明显大于对照组(49.51±4.24,50.65±4.25,51.14±4.39),且IABP组随访心血管事件发生率明显低于对照组,两者比较差异均有统计学意义(χ2=20.76,P<0.05)。结论在IABP辅助下行LAD近端病变PCI术可降低手术操作难度及危险性,并能改善患者预后。
关键词(KeyWords)： 主动脉内气囊泵;冠状动脉疾病;血管成形术,经腔,经皮冠状动脉
基金项目(Foundation):
作者(Author): 刘胜全,宋炳慧,李艳红,黎辉
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