经皮冠状动脉介入和冠状动脉旁路移植治疗稳定性冠心病三支病变的效果  

Effects of Percutaneous Coronary Intervention and Coronary Artery Bypass Grafting in the Treatment of Three-Vessel Disease of Stable Coronary Heart Disease

作　　者：夏静 XIA Jing(Coronary Care Unit,Luoyang DongFang Hospital,Luoyang 471003,China)

机构地区：[1]洛阳东方医院冠心病监护病房,河南洛阳471003

出　　处：《河南医学研究》2021年第25期4705-4707,共3页Henan Medical Research

摘　　要：目的对比经皮冠状动脉介入(PCI)和冠状动脉旁路移植(CABG)治疗稳定性冠心病三支病变的效果。方法选取洛阳东方医院2017年1月至2019年1月收治的78例稳定性冠心病三支病变患者的临床资料进行回顾性分析,按照冠脉血运重建手术方式将其分为PCI组和CABG组,PCI组(38例)接受PCI手术治疗,CABG组(40例)接受CABG手术治疗。比较两组患者冠状动脉病变特点、术后住院期间不良事件发生率及术后长期随访中不良事件发生率。结果两组患者冠状动脉病变特点比较,差异无统计学意义(P>0.05);CABG组不良心脑血管事件发生率为5.00%,PCI组不良心脑血管事件发生率为2.63%,两组患者术后住院期间不良心脑血管事件发生率比较,差异无统计学意义(P>0.05);两组患者术后随访时间比较,差异无统计学意义(P>0.05);两组患者术后随访期间全因死亡、非致命性心肌梗死及脑卒中发生率比较,差异无统计学意义(P>0.05);CABG组术后随访期间再次血运重建发生率低于PCI组(P<0.05)。结论对稳定性冠心病患者给予PCI或CABG手术治疗方案,患者术后短期内不良心脑血管事件发生率均较低,临床疗效显著。但在长期预后中相比于PCI治疗方案,接受CABG治疗方案的冠心病患者再次血运重建率较低。Objective To compare the effects of percutaneous coronary intervention(PCI)and coronary artery bypass graft(CABG)in the treatment of stable coronary heart disease with three-vessel disease.Methods A total of 78 patients with stable coronary heart disease with three-vessel disease admitted to Luoyang Dongfang Hospital from January 2017 to January 2019 were selected for retrospective analysis.They were divided into PCI group and CABG group according to the coronary revascularization surgery method.The PCI group(38 patients)received PCI surgery plan,and the CABG group(40 patients)received CABG surgery plan.The characteristics of coronary artery disease,the incidence of adverse events during postoperative hospitalization and the incidence of adverse events during long-term follow-up after surgery were compared between the two groups.Results There was no significant difference in the characteristics of coronary artery disease between the two groups(P>0.05).The incidence of adverse cardiovascular and cerebrovascular events in the CABG group was 5.00%,and the incidence of adverse cardiovascular and cerebrovascular events in the PCI group was 2.63%.There was no statistically significant difference in the incidence of adverse cardiovascular and cerebrovascular events during hospitalization(P>0.05).There was no significant difference in the follow-up time between the two groups of patients(P>0.05).There was no statistically significant difference in the incidence of all-cause death,non-fatal myocardial infarction and stroke during the postoperative follow-up between the two groups(P>0.05).The incidence of revascularization in the CABG group was lower than that in the PCI group during the follow-up period(P<0.05).Conclusion PCI or CABG surgical treatment is adopted for patients with stable coronary heart disease.The incidence of adverse cardiovascular and cerebrovascular events is low in the short-term after surgery,and the clinical effect is significant.However,in the long-term prognosis,CABG is compared with PCI treatment

关 键 词：经皮冠状动脉介入 冠状动脉旁路移植 稳定性冠心病 三支病变 

分 类 号：R541.4[医药卫生—心血管疾病]