摘要
目的分析在急性心肌梗死后出现低血压的患者,并观察应用主动脉内球囊反搏（IABP）和升压药物治疗后的疗效。方法入选2010年10月~2013年7月因急性心肌梗死合并低血压患者35例进行回顾性分析,将进行IABP治疗的15例患者设为观察组,对进行升压药物治疗的20例患者设为对照组。对比2组治疗效果。结果与治疗前比较,观察组治疗后收缩压和舒张压明显升高、尿量增多、心率减慢,差异有统计学意义（P〈0.05）。与对照组比较,观察组治疗后收缩压、舒张压、尿量、心率明显改善[（86±16）mm Hg（1mm Hg=0.133kPa）vs（70±8）mm Hg、（55±10）mm Hg vs（44±10）mm Hg、（1080±192）ml/24hvs（432±264）ml/24h、（80±18）/min vs（99±33）/min,P〈0.01]。结论积极应用IABP治疗急性心肌梗死合并低血压患者疗效优于应用升压药物治疗。
Objective To study the therapeutic effect of IABP and hypertensors in hypotensive pa- tients following acute myocardial infarction （AMI）. Methods Thirty-five hypotensive patients following AMI admitted to our hospital in October 2010-July 2013 were divided into observation group （n=15） and control group （n=20）. Patients in observation group underwent IABP treat- ment and those in control group were treated with hypertensors. The therapeutic effects of IABP and hypertensors were compared. Results The SBP and DPB were significantly higher,the urine volume was significantly larger, and the heart rate was significantly slower in observation group after treatment than before treatment（P〈0.05）, and in observation group than in control group after treatment （86±16 mm Hg vs 70±8 mm Hg,55±10 mm Hg vs 44±10 mm Hg,1080±192 ml/24 hvs432±264 ml/24 h,80±18/minvs 99±33/min,P〈0. 01）. Conclusion The therapeu- tic effect of IABP is better than that of hypertensors in hypotensive patients following AMI.
出处
《中华老年心脑血管病杂志》
CAS
2015年第8期813-815,共3页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词
心肌梗死
低血压
主动脉内气囊泵
反搏动术
血管升压素类
药物疗法
myocardial infarction
hypotension
intra-aortic balloon pumping
counterpulsation
vas- opressins
drug therapy
