经皮冠状动脉介入治疗对冠心病心功能不全患者心功能的影响  

The effection of percutaneous coronary intervension on left heart failure in patients with coronary heart disease

作　　者：张燕[1] 李莉[1] 陈玉善[1] 

机构地区：[1]河南省胸科医院心内科,郑州市450008

出　　处：《中国心血管病研究》2009年第5期327-329,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的研究经皮冠状动脉介入治疗（PCI）对冠心病合并左心收缩功能不全患者心功能的影响。方法选取118例冠心病合并不同程度左心收缩功能不全患者为研究对象，行PCI治疗，采用超声心动图检测每搏输出量（SV）、每分钟排血量（CO）、左室射血分数（LVEF）、左室短轴缩短率（FS），对比PCI术前后左心功能的改变。并以该类患者单纯药物治疗48例作为对照组，对比治疗后6个月两组患者心功能改善情况。结果两组患者治疗6月后，SV、CO、LVEF、FS均明显改善。PCI组患者心功能改善优于药物治疗组。结论PCI治疗可明显改善冠心病合并左心收缩功能不全患者的心功能。Objective To explore the efficacy of percutaneous coronary intervention （PCI） in patients with coronary heart disease combined with left ventrieular dysfunction. Methods Totally 118 coronary heart disease patients with left ventricular dysfunction underwent by PCI were studied. Fourty-eight patients with the similar condition who treated by drugs were served as control, and both groups were reevaluated echocardiographically before and six months after receiving treatment. Results SV, CO, LVEF and FS were found elevated 6 months after, but the heart function in patients who underwent PCI was significantly improved than in those patients received drug treatment （P〈0.01）. Conclusion The left ventricular function in patients with coronary heart disease is significantly improved after PCI.

关 键 词：血管形成术 经腔 经皮冠状动脉 心功能不全 左心 冠心病 

分 类 号：R541.4[医药卫生—心血管疾病]