游洁芸,耿立,沈运丽,黄晶,王兴旭,王亮,张奇,郭蔚

• 1:上海市东方医院心内科
• 2:上海市东方医院吉安医院心内科

摘要(Abstract)：

目的 评估脉搏指数连续心排血量监测（PiCCO）在急性心肌梗死合并心原性休克（AMICS）患者接受急诊经皮冠状动脉介入治疗（PCI）后管理及改善临床预后中的作用。方法 纳入2016年6月至2021年6月上海市东方医院AMICS患者，经入排标准筛选，并进行1∶1倾向性评分匹配，最终Pi CCO组和对照组各50例患者纳入分析，比较两组临床特征、院内及30 d临床预后。结果 与对照组相比，PiCCO组住院期间应用强心药物和血管收缩药物比例较高，差异均有统计学意义（均P<0.05）。PiCCO组30 d内全因死亡率（16%比34%,P=0.024）、心原性死亡率（14%比30%,P=0.042）、再入院率（2%比14%,P=0.027）均显著低于对照组，首次住院时间明显短于对照组[（17.60±1.06）d比（24.32±2.19）d,P<0.001]。结论 AMICS患者接受急诊PCI后进行PiCCO监测有助于优化治疗方案，改善临床预后。

关键词(KeyWords)： 血流动力学监测;脉搏指数连续心排血量监测;急性心肌梗死;心原性休克

Abstract:

Keywords:

基金项目(Foundation): 江西省卫生健康委科技计划项目（SKJP220210327）;; 浦东新区卫生健康委员会卫生科研项目（PW2019A-13）;; 浦东新区临床高峰学科项目（PWYgf2021-01）;; 上海市东方医院“旭日”优秀青年医学人才培养计划项目（2019xrrcjh03）

作者(Author): 游洁芸,耿立,沈运丽,黄晶,王兴旭,王亮,张奇,郭蔚

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