缺血性心肌病经皮冠状动脉介入治疗对改善左心室功能、降低心血管事件发生率的作用  

Roles of Percutaneous Coronary Intervention in Improving Left Ventricular Function,Reducing Incidence of Cardiovascular Events of Patients With Ischemic Cardiomyopathy

作　　者：原斌[1] 李子辉[2] YUAN Bin;LI Zi-hui(Dept. of Heart and Kidney,Anning Hospital of Lanzhou Military Command, Lanzhou Gansu 730000;Dept. of Heart and Kidney,The First Affiliated Hospital of China Medical University,Shenyang Liaoning 110000,China)

机构地区：[1]兰州军区总医院安宁分院心肾科,甘肃兰州730000 [2]中国医科大学第一附属医院心肾科,辽宁沈阳110000

出　　处：《昆明医科大学学报》2016年第6期57-60,共4页Journal of Kunming Medical University

基　　金：国家临床重点专科建设基金资助项目(国中医药办医政函[2013]48号)

摘　　要：目的探讨缺血性心肌病患者经皮冠状动脉介入治疗对改善左心室功能、降低心血管事件发生率的作用.方法选取2012年8月至2015年8月收治的90例缺血性心肌病患者,依据治疗方法将患者分为2组,即观察组(n=45)和对照组(n=45).对照组患者给予常规治疗,观察组患者给予常规治疗联合经皮冠状动脉介入治疗.结果观察组患者的LVEDV、LVEF均显著高于对照组(P<0.05),急性心肌梗死发作发生率、再次住院率、病死率为别为8.89%(4/45)、13.33%(6/45)、2.22%(1/45),均显著低于对照组24.44%(11/45)、40.00%(18/45)、17.78%(8/45)(P<0.05).结论缺血性心肌病患者经皮冠状动脉介入治疗能够有效改善左心室功能,降低心血管事件发生率.Objective To investigate the roles of percutaneous coronary intervention in improving left ventricular function, reducing incidence of cardiovascular events of patients with ischemic cardiomyopathy.Methods Ninety cases of ischemic cardiomyopathy patients from August 2012 to August 2015 were randomly selected, these patients were divided into two groups, the study group (n = 45) and control group (n = 45)according to the random number table. The control group of patients were given routine treatment, while the study group of patients were given conventional treatment combined with percutaneous coronary intervention. Results The LVEDV, LVEF of the study group were significantly higher ( P<0.05), the incidence of acute myocardial infarction onset, hospitalization rates again, mortality rate 8.89% (4/45), 13.33% (6/45),2.22 % (1/45)were significantly lower than the control group 24.44% (11/45), 40.00% (18/45), 17.78% (8/45) (P <0.05) . Conclusion Percutaneous coronary intervention can improve left ventricular function and reduce the incidence of cardiovascular events of patients with ischemic cardiomyopathy.

关 键 词：缺血性心肌病 经皮冠状动脉介入治疗 左心室功能 心血管事件发生率 

分 类 号：R543.3[医药卫生—心血管疾病]