冠脉内应用替罗非班对急性心梗急诊介入治疗中心肌无复流的影响

《冠脉内应用替罗非班对急性心梗急诊介入治疗中心肌无复流的影响》由会员上传分享，免费在线阅读，更多相关内容在应用文档-天天文库。

1、泰山医学院硕士学位论文INFLUENCEOFINTRACORONARYTIROFIBANONACUTEMYOCARDIALINFARCTIONINEMERGENCYINTERVENTIONALTHERAPYOFMYOCARDIALNOREFLOWGraduatestudent:WeiYaJingSpecialty:CardiovascularMedicineTutor:Prof.ChengJianHuiABSTRACTObjectiveToinvestigatetheeffectsofapplingLuoFeiclassfortreatingcoronary

2、myocardialnoreflowinacutemyocardialinfarctionpatientsafterpercutaneouscoronaryintervention.MethodsOnehundredandtwenty-eightpatientswithAMItreatedwithPCIwereselectedandrandomlydividedintoLuoFeiclassgroupandcontrolgroup,therewere64casesineachgroup.ontrolgroupweretreatedwithroutinetre

3、atmentfornoreflow,LuoFeiclassgroupweretreatedwithLuoFeiclassonbasisofintracoronary,thebloodflowindex,clinicalindexofcoronaryangiographyandcardiovasculareventsandadversereactionswereobservedatdifferenttimebetweentwogroups.ResultsTIMI0ofLuoFeiclassgroup,controlgroupwithin5minafterdru

4、ginjectionwas7(10.9％)、12(18.8％)respectively，TIMI1ofthemwas5(7.8％)、11(17.2％)respectively，TIMI2ofthemwas11(17.2％)、16(25.0％)respectivel,TIMI3ofthemwas41(64.1％)、25(39.1％)（p=0.04）respectively.TIMI0ofLuoFeiclassgroupandcontrolgroupat5minbeforetheendofPCIoperationwas4(6.3％)、9(14.1％)respec

5、tively，TIMI1ofthemwas4(6.3％)、10(15.6％)respectively，TIMI2ofthemwas5(7.8％)、13(20.3％)respectively，TIMI3ofthemwas51(79.7％)32(50.0％)（p=0.03）respectively.TMPG0ofLuoFeiclassgroup,controlgroupwithin5minafterdruginjectionwas8(12.5％)、14(21.93％)respectively，TMPG1ofthemwas7(10.9％)、13(20.3％)res

6、pectively，TMPG2ofthemwas14(21.9％)、18(28.1％)respectively，TMPG3ofthemwas35(54.7％)、19(29.7％)（p=0.04）respectively.TMPG0ofLuoFeiclassgroupandcontrol3万方数据泰山医学院硕士学位论文groupat5minbeforetheendofPCIoperationwas5(7.8％)、8(12.5％)respectively,TMPG1ofthemwas4(6.3％)、9(14.1％)respectively,TMPG2ofthem

7、was8(12.5％)、17(26.6％),TMPG3ofthemwas47(73.4％)、30(46.9％)（p=0.02）respectively.theproportionofpatietswhoseTIMIflowandTMPGflowweregrade3levelwithin5minafterdruginjection,at5minbeforetheendofPCIoperationinLuoFeiclassgroupwerehigherthanthoseincontrolgroup(P<0.05).cTFCofLuoFeiclassgroup,c

8、ontrolgroupWithouttheusing