论文部分内容阅读
目的探讨经皮冠状动脉腔内血管形成术治疗急性冠脉综合征并发左心力衰竭的临床疗效。方法抽取2010年4月至2012年6月蚌埠医学院第二附属医院收治的120例急性冠脉综合征并发左心力衰竭患者,按照患者意愿及治疗方法不同随机分为经皮冠状动脉腔内血管成型术组(治疗组)和非介入术组(对照组)。治疗组患者在发病12d后行冠状动脉造影术,实施经皮冠状动脉腔内血管形成术及支架置入手术。观察两组患者心脏功能相关指标方面的情况。结果两组患者在心绞痛发作、心功能分级及死亡情况等方面进行比较,治疗组明显优于对照组,差异具有统计学意义(P<0.05),心肌梗死复发、死亡率方面两组差异无统计学意义(P>0.05)。结论心脏介入治疗对急性冠脉综合征并发左心力衰竭患者疗效显著,且能提升患者生命质量及预后。
Objective To investigate the clinical effect of percutaneous transluminal coronary angioplasty in the treatment of acute coronary syndrome complicated with left heart failure. Methods From April 2010 to June 2012, 120 patients with acute coronary syndrome complicated by left heart failure admitted to the Second Affiliated Hospital of Bengbu Medical College were randomly divided into percutaneous transluminal coronary vessels Sham group (treatment group) and non-intervention group (control group). The patients in the treatment group underwent coronary angiography 12 days after the onset of the disease and underwent percutaneous transluminal coronary angioplasty and stenting. The two groups of patients with cardiac function related indicators were observed. Results The two groups of patients were compared angina pectoris, heart function grading and death, the treatment group was significantly better than the control group, the difference was statistically significant (P <0.05), myocardial infarction recurrence, mortality no significant difference between the two groups Significance (P> 0.05). Conclusion Cardiac intervention has significant curative effect on patients with acute coronary syndrome complicated with left heart failure, and can improve the quality of life and prognosis of patients.