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A comparison of efficacy between early and late coronary invasive strategies in patients with non-ST elevation acute coronary syndromes

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
Issue:
7
DOI:
10.3760/cma.j.issn.1008-6706.2004.07.005
Key Word:
急性冠脉综合征;血管成形术;经腔;经皮冠状动脉;早期

Abstract: 目的比较早期冠脉介入治疗和行药物治疗稳定后的延迟冠脉介入治疗对非ST段抬高性急性冠脉综合征的疗效.方法对142例经危险分层为高危的非ST段抬高急性冠脉综合征患者行入院后早期(72 h)和药物治疗稳定后的延迟介入(5~7 d)治疗,并进行6个月的随访,比较两组患者的围术期并发症的发生率、死亡、再次心肌梗死的发生率以及再入院率和再次血运重建术率.结果早期介入组有3例患者发生围手术期冠脉血栓事件,延迟介入治疗组有4例患者于术前发生心肌梗死,随访6个月两组患者死亡、心肌梗死和心绞痛的发生率差异无显著意义(P>0.05),但在早期介入治疗组再次住院率(17%∶22%,P<0.05)和再次血管重建术率(12%∶17%,P<0.05)明显低于延迟介入治疗组.结论对经危险分层为高危的非ST段抬高急性冠脉综合征患者入院后行在阿司匹林、利吡格雷和低分子肝素保护下早期冠脉介入治疗是安全的,可改善患者的预后.

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