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目的探讨经桡动脉血栓抽吸对急性冠状动脉综合征PCI术后及疗效的影响。方法选取2012年3月至2015年2月收治的行PCI术治疗的60例急性冠状动脉综合征患者,按照就诊顺序编号随机分为两组,其中实验组术中经桡动脉途径采用血栓抽吸导管(ThrombusterⅡ型)予以抽吸处理,对照组术中未经桡动脉行血栓抽吸,观察两组临床疗效。结果两组吸烟、糖尿病、高脂血症等发生率及病变部位、病变血栓负荷对比差异无统计学意义(P>0.05),但实验组LVEF水平(%:54.01±8.03 vs 49.02±6.01)与术后TIMIⅢ级所占比例(93.93%vs 74.07%)均较对照组高,不良心脏事件总发生率(3.03%vs 18.51%)较对照组明显下降,差异有统计学意义(P<0.05)。结论经桡动脉血栓抽吸对提高急性冠状动脉综合征PCI术疗效具有十分重要的应用意义,且安全可靠,值得临床积极借鉴。
Objective To investigate the effect of transradial thrombus aspiration on post-PCI and therapeutic effect of acute coronary syndrome (PCI). Methods Sixty patients with acute coronary syndrome who underwent PCI from March 2012 to February 2015 were randomly divided into two groups according to the order of their visits. The patients in the experimental group were treated with radial artery via thrombus aspiration Catheter (Thrombuster Ⅱ type) to be treated by suction, the control group without radial artery thrombosis during operation, the clinical efficacy of the two groups were observed. Results There was no significant difference in smoking, diabetes, hyperlipidemia, lesion location and thrombus burden between the two groups (P> 0.05). However, the levels of LVEF in the experimental group (54.01 ± 8.03 vs 49.02 ± 6.01) The postoperative TIMI Ⅲ grade ratio (93.93% vs 74.07%) was higher than that of the control group. The total incidence of adverse cardiac events (3.03% vs 18.51%) was significantly lower than that of the control group (P <0.05). Conclusion Transradial thrombus aspiration is of great significance in improving the therapeutic effect of PCI in patients with acute coronary syndrome. It is safe and reliable, and it is worth clinical reference.