持续灌流法PTCA治疗恶化劳力型心绞痛的临床研究  

Clinical Study of Treating Aggravated Effort Type Angina Pectoris by Continuous Perfusion Percutaneous Transluminal Coronary Angioplasty

作　　者：张允忠 范秀田 潘爱美 

机构地区：[1]山东省青州市人民医院 [2]山东省青州市王母宫医院

出　　处：《蛇志》1997年第4期38-39,43,共3页Journal of Snake

摘　　要：探讨持续灌流法经皮冠状动脉腔内球囊成形术（ＣＰＰＴＣＡ）在治疗恶化劳力型心绞痛中的临床价值。方法将４０例分两组作药物治疗与在用药的基础上加用ＣＰＰＴＣＡ各２０例。结果用ＣＰＰＴＣＡ组术后症状迅速缓解，室壁运动明显改善，无心肌梗死和死亡发生。随访６个月，ＣＰＰＴＣＡ组中有２例心绞痛复发，３例运动心电图阳性，但无１例发生心肌梗死和死亡；而对照组中２０例均有心绞痛发作，运动心电图和动态心电图均示心肌缺血，且有６例发生心梗和４例死亡。两组相比有非常显著差异（Ｐ＜０．０１）。Objective To evaluate the clinical treatment of aggravated effort type angina pectoris by continuous perfusion percutaneous transluminal coronary angioplasty(CPPTCA). Methods 40 aggravated effort type angina pectoris patients were divided into 2 groups, in which one group (20 cases, controls) received only drug therapy, while the other group (20 cases, CPPTCA group) received CPPTCA in addition to drug therapy. Results In CPPTCA group, the symptoms rapidly remitted, ventrical wall movement significantly improved, and no cardiac infarction or death occured. 6 moths follow-up showed that only 2 cases suffered angina pectoris recurrence, 3 cases showed positive exercise stress EGG, but not a single case developed cardiac infarction or death. On the other hand, in the control group, all the patients had angina pectoris attacks, exercise stress ECG and dynamic ECG showed cardiac ischemia, 6 patients suffered cardiac infarction and 4 patients died. The differences between the two groups were significant(P<0.01). Conclusion CPPTCA in addition to drug therapy produces better therapeutic results than drug therapy alone.

关 键 词：心绞痛 PTCA 持续灌流法 心脏外科手术 

分 类 号：R654.205[医药卫生—外科学]