血管腔内超声指导经皮冠状动脉介入治疗在老年冠心病患者中的应用效果研究  

Study on the Effect of Endovascular Ultrasound Guided Percutaneous Coronary Intervention in Elderly Patients with Coronary Heart Disease

作　　者：胡婧 唐昱[2] HU Jing;TANG Yu(Nanchang First Hospital,Nanchang 330006,China)

机构地区：[1]南昌市第一医院,江西南昌330006 [2]江西省人民医院

出　　处：《中国医学创新》2021年第13期142-146,共5页Medical Innovation of China

摘　　要：目的:探讨血管腔内超声指导经皮冠状动脉介入(PCI)治疗在老年冠心病患者中的应用效果。方法:选取2018年1月-2019年10月本院收治的冠心病患者150例。按照随机数字表法将患者分为观察组(n=75)和对照组(n=75)。对照组进行常规PCI治疗,观察组实施血管腔内超声技术指导PCI治疗。比较两组患者手术持续时间、球囊支架直径、一次支架置入良好情况,并观察两组患者术中并发症以及术后主要不良心血管事件(MACE)发生情况。结果:两组患者的手术持续时间比较,差异无统计学意义(P>0.05);观察组球囊支架直径大于对照组,一次支架置入良好率均高于对照组,差异均有统计学意义(P<0.05)。观察组术中并发症发生率为2.7%,低于对照组的13.3%,差异有统计学意义(P<0.05)。随访6个月,在随访时间内,观察组术后MACE发生率为16.0%,低于对照组的30.7%,差异有统计学意义(P<0.05)。结论:血管腔内超声技术指导PCI治疗老年冠心病患者的效果显著,有利于提高一次支架置入良好率,降低术中并发症及术后MACE的发生率,临床应用价值高。Objective:To explore the effect of percutaneous coronary intervention(PCI)guided by endovascular ultrasound in elderly patients with coronary heart disease.Method:A total of 150 patients with coronary heart disease admitted to our hospital from January 2018 to October 2019 were selected.Patients were divided into observation group(n=75)and control group(n=75)according to random number table method.The control group was treated with conventional PCI,and the observation group was treated with endovascular ultrasound to guide PCI.The duration of operation,diameter of balloon stent,one-time good stent implantation were compared between the two groups,and the incidence of intraoperative complications and major postoperative adverse cardiovascular events(MACE)in the two groups were observed.Result:There was no significant difference in the operation duration between the two groups(P>0.05).The diameter of the balloon stent in the observation group was larger than that in the control group,one-time good rate of stent implantation were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of intraoperative complications in the observation group was 2.7%,compared with 13.3%in the control group,the difference was statistically significant(P<0.05).During the follow-up period of 6 months,the incidence of postoperative MACE in the observation group was 16.0%,lower than 30.7%in the control group,the difference was statistically significant(P<0.05).Conclusion:Endovascular ultrasound has a significant effect on the treatment of elderly patients with coronary heart disease,which is beneficial to improve the one-time good rate of stent,reduce the incidence of intraoperative complications and postoperative MACE,and has high clinical application value.

关 键 词：血管腔内超声 经皮冠状动脉介入 老年 冠心病 主要不良心血管事件 

分 类 号：R445.1[医药卫生—影像医学与核医学] R541.4[医药卫生—诊断学]