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时间:2020-03-10
《延迟PCI对急性ST段抬高型心肌梗死患者血浆N-末端脑钠素原影响及临床意义.doc》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、延迟PCI对急性ST段抬高型心肌梗死患者血浆N■末端脑钠素原影响及临床意义陈子国黄琦磊王光友(福建医科大学附属南平第一医院心内科福建南平353000)【中图分类号】R542.2【文献标识码]A【文章编号】1672-5085(2011)43-0011-03【摘要】目的研究急性ST段抬高型心肌梗死患者延迟PCI术前及术后血浆N・末端脑钠素原水平变化,探讨延迟PCI对心功能的影响。方法选择住院治疗的急性ST段抬高型心肌梗死患者80例,根据是否行延迟PCI术分为两组,两组患者均于心梗后1周、术前1天、术后3天、6个月检测
2、血浆脑钠素N端前体肽水平的变化,分别于心梗后1周、术前1天、术后3天、6个月做心脏超声检查,测定左室射血分数及左室舒张末期容积,对比PCI组和非PCI组两组患者心脏超声和N•末端脑钠素原的动态变化。结果PCI组术后3天脑钠素N端前体肽水平明显下降(PV0.01);6个月后PCI组的N•末端脑钠素原明显低于非PCI组(P<0.01),PCI组的左室射血分数值高于非PCI组(PV0.05),非PCI组左室舒张末期容积明显大于PCI组(PV0.05)。结论延迟PCI能改善急性心肌梗死患者的心功能。【关键词】延迟经皮冠状
3、动脉介入N・末端脑钠素原心功能TheeffectofdelayedPCIonNT-proBNPandclinicalsign讦icanceinpatientswithacuteST-segmentelevationmyocardialinfaretion[Abstract]ObjectiveTostudychangesofplasmalevelofN-terminalproBNP(NT-proBNP)beforeandafterdelayedpercutaneouscoronaryintervention(PCI
4、)inthepatientswithacuteST-segmentelevationmyocardialinfarction(STEMI),investigatetheeffectofdelayedPCIoncardiacfunction.MethodsEightypatientswithSTEMIweredividedintothetreatmentgroupandthecontrolgroup.BasedonPCI-groupandnon・PCI’theplasmaNT-proBNPlevelsweremea
5、suredinthesepatientsinoneweeks>sixmonthsaftermyocardialinfarctionandinonedaybeforedelayedPCIandinthreedaysafterdelayedPCI丄eftventricularvolumeindees,ejectionfractionandleftventricularenddiastolicendvolumeindexesweremeasuredinoneweeks、sixmonthsaftermyocardiali
6、nfarctionandonedaybeforedelayedPCIineachgroup・ResultsThreedaysafterdelayedPChNT-proBNPinthePCIgroupdecreasedsingnificantly;sixmonthsafterSTEMLNT-proBNPinthePCIgroupwassingnificantlylowerthanthatinthenon-PCIgroup,leftventricularenddiastolicvolumeinnon-PCIgroup
7、wassingn讦icantlylargerthaninthePCIgroup.ConclusionDelayedPCIforinfarctrelatedarterywouldinhibitventricularenlargementbenefitingtotheheartfunction.[Keywords]DelayedPCINT-proBNPHeartfunctionN・末端脑钠素原(N-terminalproBNBNT-proBNP)来自脑钠素前体(proBNP)o越来越多的资料证^NT-proBNP的应
8、用不仅限于诊断和筛查心功能不全,而J4对急性心肌梗死(acutemyocardialinfarction,AMI)患者心肌梗死后左室重构、左室功能、病死率的评估有重要价值。木文通过观察急性ST段抬高型心肌梗死(acuteST-segmentelevationmyocardialinfarction,STEMI)患者延迟PCI术前及术后血浆N・末端脑钠素原(NT・proBN
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