冠心病患者完全血运重建的近期临床疗效分析  

Recent Clinical Curative Effect of Coronary Heart Disease Patients with Complete Revascularization

作　　者：刘晔[1] 

机构地区：[1]吉林省人民医院心内科,吉林长春130021

出　　处：《中外医疗》2015年第32期13-14,共2页China & Foreign Medical Treatment

摘　　要：目的评价冠心病患者进行完全血运重建介入治疗的近期疗效。方法整群选取2012年1月—2015年1月在该院接受经皮冠状动脉介入治疗的132例患者(年龄≥45岁)根据临床诊断结果分为完全血运重建组(CR)和不完全血运重建组(IR),其中CR组58例,IR组74例,并观察两组近期(住院及出院3个月内)发生的主要心脏事件。结果与不完全血运重建组相比,完全血运重建组患者心源性死亡、非致死性AMI、再次血运重建及支架内再狭窄的比例均较低(P<0.05),差异具有统计学意义。结论与不完全性血运重建相比,完全性血运重建的介入策略可以降低冠心病患者近期心脑血管不良事件的发生几率,从而达到较理想的临床效果。Objective To evaluate the recent curative effect of complete revascularization by percutaneous coronary inter-vention（PCT） in patients with coronary artery disease. Methods 132 patients（age≥45 years old） underwent PCI in our hos-pital during the period from January 2012 to January 2015 were divided into the complete revascularization group （CR） and incomplete coronary revascularization group （IR） according to the result of clinical diagnosis, the CR group of 58 cases, IR group 74 cases. An observation was conducted on the short-term major adverse cardiac events occurred in hospitalization and within 3 months after the discharge in these patients. Results The rate of cardiac death, nonfatal AMI, repeat revascu-larization and stent restenosis in IR group was significantly higher than that in CR group, respectively with statistically sig-nificant difference （P〈0.05）. Conclusion Compared with incomplete coronary revascularization, complete coronary revascu-larization can reduce the incidence of short-term cardio-cerebral vascular adverse events with satisfactory clinical results.

关 键 词：冠心病 完全血运重建 近期疗效 

分 类 号：R4[医药卫生—临床医学]