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作 者:照日格吐
机构地区:[1]内蒙古自治区人民医院心胸外科,内蒙古自治区呼和浩特010020
出 处:《中国基层医药》2012年第24期3703-3704,共2页Chinese Journal of Primary Medicine and Pharmacy
摘 要:目的探讨激光心肌血运重建术联合微创小切口冠状动脉搭桥术(简称杂交术)治疗冠心病的临床疗效。方法90例冠心病患者按治疗方法不同分为采用常规冠状动脉搭桥术的对照组(45例)、采用杂交术的观察组(45例),观察比较两组术后肌钙蛋白(cTn)、肌红蛋白(MYOG)、肌酸激酶同工酶(CK—MB)水平,术后随访出现心衰、心绞痛、再次狭窄率。结果两组cTn、MYOG、CK.MB水平差异均有统计学意义(t=6.12、5.21、6.22,均P〈0.01);术后随访,两组心力衰竭、心绞痛、再次狭窄发生率差异均有统计学意义(X2=6.15、5.11、5.65、均P〈0.05)。结论杂交术治疗冠心病可明显改善心功能,减少并发症发生,远期预后较好。Objective To explore the clinical effect of myocardial laser revascularization combined with min- imally invasive coronary artery bypass grafting (referred to as hybridization) in the treatment of coronary heart dis- ease. Methods 90 cases with coronary heart disease were divided into using conventional coronary artery bypass grafting in the control group ( 45 cases ), using hybridization observation grout) ( 45 cases ), postoperative troponin ( cTn), myoglobin ( MYOG), creatine kinase isoenzyme ( CK-MB ) level, after 1 year follow up of heart failure, angina pectoris,re-stenosis rate were compared between the two groups. Results The two groups of cTn, MYOG, CK-MB levels had significant differences (t = 6.12,5.21,6.22 ,P 〈 0.01 ) ;after 1 year of follow-up, two groups of heart fail- ure,angina pectoris, again stenosis rate had significant differences (X2 = 6. 15,5. 11,5. 65, all P 〈 0. 05 ). Conclusion The hybrid operation in the treatment of coronary heart disease can significantly improve cardiac func- tion, reduce complications, prognosis is better.
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