经皮冠状动脉介入治疗对冠心病患者心脏收缩功能的影响  

Effects of Percutaneous Coronary Intervention on Left Ventricular Function in Patients with Coronary Disease

作　　者：林明[1] 吴可贵[1] 蔡洪斌[1] 缪蔚冰[1] 阮琴韵[2] 郑勇[1] 

机构地区：[1]福建医科大学附属第一医院心内科,福州350005 [2]福医科大学附属第一医院心内科,福州350005

出　　处：《福建医科大学学报》2004年第3期294-296,共3页Journal of Fujian Medical University

基　　金：福建省科技计划项目 ( 2 0 0 0 Z163 )

摘　　要：目的　应用单光子发射计算机断层显像 (SPECT)及超声心动图 (UCG)评价冠心病患者行经皮冠状动脉介入 (PCI)治疗后对左心功能的影响。　方法　对 30例冠状动脉造影证实至少一支 >70 %狭窄的冠心病患者行PCI,手术前后分别用 SPECT及 U CG检测左室的收缩功能指标。　结果　 PCI治疗前后左室的收缩功能及室壁运动、心功能分级均有不同程度的改善 (P<0 0 5 )。　结论　 PCI能改善冠心病患者的心脏收缩功能 。Objective To assess cardiac function in patients after percutaneous coronary intervention(PCI) with single photon emission computed tomography(SPECT) and echocardiography(UCG). Methods Thirty patients with coronary disease who at least had one stenosis more than 70 percent at one vessel confirmed with coronary arteriography underwent PCI. Before and after the operation, left ventricular systolic function parameters were measured with SPECT and UCG. Results After PCI, left ventricular systolic function was improved and regional wall motion abnormalities were ameliorated(P<0 05), and clinic symptoms were relieved. Conclusion PCI can effectively improve left ventricular systolic function in patients with coronary disease and relieve clinical symptoms, and thus improve the patients' quality of life.

关 键 词：冠状动脉疾病 经腔 经皮冠状动脉 体层摄影术 发射型计算机 单光子 超声心动描记术 

分 类 号：R541.4[医药卫生—心血管疾病]