多支血管病变完全血运重建对冠心病心功能不全患者的影响  

The influence of complete revascularization by PCI on heart function of heart dysfunction patients with multivessel coronary artery disease

作　　者：荆全民[1] 韩雅玲[1] 王守力[1] 马颖艳[1] 栾波[1] 王耿[1] 臧红云[1] 梁延春[1] 邢军[1] 

机构地区：[1]沈阳军区总医院心内科全军心血管内外科研究所,辽宁沈阳110016

出　　处：《中国实用内科杂志》2006年第8期1155-1157,共3页Chinese Journal of Practical Internal Medicine

基　　金：军队医学科学十五攻关重点课题基金资助项目(01Z001)

摘　　要：目的对比多支冠状动脉病变(多支病变)行经皮冠状动脉介入治疗(PCI)进行完全血运重建和不完全血运重建对患者心功能的影响。方法分析沈阳军区总医院心内科1994年10月至2004年10月完成PCI治疗的多支病变且合并心功能不全患者的临床资料及超声心动图检查结果。结果PCI术后6个月,完全和不完全血运重建组患者心脏超声DE、SV、CO、LVEF、FS、MVCF和E/A均明显改善,MVEF速度加快,EPSS减小。完全血运重建组患者心功能改善优于不完全血运重建组。结论PCI能明显改善多支病变合并心功能不全患者的心功能,但完全血运重建对多支病变患者心功能的改善明显优于不完全血运重建。Objective To evaluate the influence of complete or incomplete revascularization by percutaneous coronary intervention （PCI） on heart function of heart dysfunction patients with muhivessel coronary artery disease. Methods The study retrospectively analysed the clinical data and the echocardiogram result i＇n patients with multivessel coronary artery diease complicated with heart dysfunction, who underwent PCI procedure from October 1994 to October 2004 in our center. Results 6 months after revascularization by PCI, DE, SV, CO, LVEF, FS, MVCF and E/A elevated, MVEF velocity increased, and EPSS decreased in both complete and incomplete revascularization groups, but the above heart function indexes tested by echocardiogram in complete revascular/zation patients were better than those of incomplete revascularization patients. Conclusion PCI can significantly improve the heart function in both groups, but complete revascularization by PCI improves the heart function of patient with multivessel coronary artery disease more obviously in compare with incomplete revascularization.

关 键 词：冠状动脉疾病 多支冠状动脉血管病变 支架 经腔经皮冠状动脉介入 心功能 

分 类 号：R5[医药卫生—内科学]