持续灌流法经皮冠状动脉球囊成形术治疗老年人心肌梗塞的临床价值  

The clinical value of coutinuous perfusion percutaneous transluminal coronary angioplasty in treatment of coronary artery disease in elderly patients

作　　者：崔连群[1] 马承恩[1] 徐希云[1] 段文昌[1] 

机构地区：[1]山东省千佛山医院心血管病研究室

出　　处：《中华老年医学杂志》1995年第5期278-280,共3页Chinese Journal of Geriatrics

摘　　要：对比分析了老年急性心肌梗塞（ＡＭＩ）患者行持续灌流法冠状动脉球囊成形术（ＣＰＰＴＣＡ）２０例（３６支）和常规冠状动脉球囊成形术（ＰＴＣＡ）１８例（２４支）的疗效。两组患者术前冠状动脉狭窄的严重程度及左心室功能相似（Ｐ＞０．０５）。与ＰＴＣＡ组比较，ＣＰＰＴＣＡ对术中阻断血流的心肌有重要保护作用，且术中并发症少（０比３８．９％，Ｐ＜０．０１），残余狭窄轻（１２％±８％比２８％±１８％，Ｐ＜０．０５），再狭窄率（０比２２％，Ｐ＜０．０５），再梗塞率（５％比３３％，Ｐ＜０．０５）及病死率（０比２２％，Ｐ＜０．０５）低。Abstract Twenty elderly acute myocardial infarction(AMI) patients with 36 branches of diseased coronary artery were treated with continuous perfusion percutaneous transluminal coronary angioplasty(CPPTCA,GroupⅠ) and 18 other elderly AMI patients with 24 branches of diseased coronary artery with percutaneous transluminal coronary angioplasty(PTCA,Group Ⅱ).There was no significant difference in the severity of coronary artery disease and in left ventricular function between the two groups(P>0.05).Compared with PTCA,CPPTCA had an important effect on protection of ischemic myocardium during inflation of balloon,so the patients could stand longer time of dilation. Moreover,the patients treated with CPPTCA had lower rate of complications,less residual stenosis,lower rate of restenosis,lower rate of reinfarction and lower mortality(P<0.05 or 0.01).

关 键 词：血管成形术 心肌梗塞 外科手术 

分 类 号：R542.220.5[医药卫生—心血管疾病]