下肢缺血性疾病介入治疗的临床价值探讨  

Investigation of clinical value by interventional therapy for lower limb ischemic disease

作　　者：谭贵芳[1] TAN Gui-fang(Department of Intervention, Dalian City Central Hospital, Dalian 116033, China)

机构地区：[1]大连市中心医院介入科,116033

出　　处：《中国现代药物应用》2017年第5期29-30,共2页Chinese Journal of Modern Drug Application

摘　　要：目的探讨对下肢缺血性疾病患者实施介入治疗的临床效果。方法 90例下肢缺血性疾病患者,通过抽签分组分为对照组和观察组,各45例。对照组患者采用内科药物治疗和(或)外科手术治疗;观察组患者采用介入治疗。比较两组患者手术成功率、临床截肢率以及手术出血量、手术时间、住院时间。结果观察组手术成功率为100.00%,高于对照组的66.67%,差异具有统计学意义(P<0.05);观察组临床截肢率为2.22%,低于对照组的15.56%,差异具有统计学意义(P<0.05)。观察组患者手术出血量为(70.79±6.12)ml,手术时间为(60.89±10.66)min,住院时间为(8.59±1.13)d;对照组患者手术出血量为(103.19±11.23)ml,手术时间为(102.19±20.25)min,住院时间为(11.79±2.29)d。观察组患者手术出血量少于对照组,手术时间、住院时间短于对照组,差异具有统计学意义(P<0.05)。结论对于下肢缺血性疾病患者的疾病特征等进行了解后,合理开展介入治疗,可以显著提高患者的临床手术成功率,降低患者的截肢率,凸显对下肢缺血性疾病患者给予介入治疗干预的价值所在。Objective To investigate clinical effect by interventional therapy for lower limb ischemic disease patients. Methods A total of 90 patients with lower limb ischemic disease were divided by lot drawing method into control group and observation group, with 45 cases in each group. The control group received internal medicine therapy and (or) surgical operation for treatment, and the observation group received interventional therapy. Comparison was made on operation success rate, clinical amputation rate, operation bleeding volume,operation time and hospital stay time between the two groups. Results The observation group had higher operation success rate as 100.00% than 66.67% in the control group, and their difference had statistical significance (P<0.05). The observation group had lower clinical amputation rate as 2.22% than 15.56% in the control group, and the difference had statistical significance (P<0.05). The observation group had operation bleeding volume as (70.79±6.12) ml, operation time as (60.89±10.66) min and hospital stay time as (8.59±1.13) d. The control group had operation bleeding volume as (103.19±11.23) ml, operation time as (102.19±20.25) min and hospital stay time as (11.79±2.29) d. The observation group had less operation bleeding volume, and shorter operation time and hospital stay time than the control group. The difference had statistical significance (P<0.05). Conclusion Rational implement of interventional therapy after mastery of lower limb ischemic disease characteristics can remarkably improve clinical operation success rate and reduce amputation rate. Interventional therapy shows significant value for patients with lower limb ischemic disease.

关 键 词：下肢缺血性疾病 介入治疗 临床价值 

分 类 号：R543[医药卫生—心血管疾病]