拘禁球囊技术在冠状动脉分叉病变PCI中的边支保护效果评价  

Evaluation of the side branch protection effect of jailed-balloon technique in coronary bifurcation lesions during PCI

作　　者：郭胜[1] 张鸥[1] 曾显峰[1] Guo Sheng;Zhang Ou;Zeng Xianfeng(Department of Cardiovascular Intensive Care Unit,the First Affiliated Hospital of Nanyang Medical College,Nanyang 473058,China)

机构地区：[1]南阳医学高等专科学校第一附属医院心血管重症监护病房,河南省473058

出　　处：《中国实用医刊》2021年第6期38-41,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨冠状动脉分叉病变PCI边支保护中给予拘禁球囊技术治疗的临床效果。方法抽取2019年7月至2020年8月南阳医学高等专科学校第一附属医院收治的84例冠状动脉分叉病变患者,按随机数字表法将患者分为观察组和对照组,每组42例。对照组行经皮冠状动脉介入术(PCI)时给予传统边支保护技术,观察组行PCI术时给予拘禁球囊技术,比较两组临床相关指标、术中并发症、血清相关指标以及术后不良事件情况。结果观察组造影剂使用量、手术时间、曝光时间少于或短于对照组(P<0.05);观察组术中并发症发生率低于对照组(P<0.05);观察组治疗后超敏C反应蛋白(hs-CRP)、脂蛋白相关磷脂酶A2(LP-PLA2)、超敏肌钙蛋白(hs-cTnI)水平均低于对照组(P<0.05);观察组术后不良事件发生率(2.38%)与对照组(11.90%)比较,差异未见统计学意义(P>0.05)。结论在冠状动脉分叉病变PCI术边支保护中应用拘禁球囊技术治疗可减少造影剂使用量以及手术时间、曝光时间,并减轻心肌损伤,术中并发症发生率低。Objective To investigate the side branch protection effect of jailed-balloon technique in coronary bifurcation lesions during PCI.Methods A total of 84 patients with coronary bifurcation lesions in the First Affiliated Hospital of Nanyang Medical College form July 2019 and August 2020 were enrolled,and randomly divided into observation group and control group,with 42 cases in each group.The control group received traditional side branch protection,while the observation group received treatment with jailed-balloon technique,and the two groups were compared in terms of related clinical indicators,intraoperative complications,related serum indexes and postoperative adverse events.Results The amount of contrast agent used,operation time,and exposure time in the observation group were less or shorter than those in the control group(P<0.05),and the incidence of intraoperative complications in the observation group was lower than that in the control group(P<0.05).After treatment,the observation group had lower levels of high-sensitivity C-reactive protein(hs-CRP),lipoprotein-associated phospholipase A2(LP-PLA2),and high-sensitivity troponin(hs-cTnI)than the control group(P<0.05).There was no significant difference in the incidence of postoperative adverse events between the observation group(2.38%)and the control group(11.90%),P>0.05.Conclusions The application of jailed-balloonballoon technique in side branch protection of coronary bifurcation lesions can reduce the amount of used contrast agent,shorter operation time and exposure time,and reduce myocardial injury,with a low incidence of intraoperative complications.

关 键 词：冠状动脉 分叉病变 边支 拘禁球囊技术 

分 类 号：R541.4[医药卫生—心血管疾病]