冠状动脉支架治疗缺血性心肌病心力衰竭的临床效果  

Clinical Effect of Coronary Stent on Heart Failure in Ischemic Cardiomyopathy

作　　者：王亚杰 WANG Ya-jie(Chaoyang Central Hospital,Liaoning Chaoyang 122000)

机构地区：[1]朝阳市中心医院,辽宁朝阳122000

出　　处：《中国医疗器械信息》2022年第7期127-129,共3页China Medical Device Information

摘　　要：目的:分析缺血性心肌病心力衰竭应用冠状动脉支架治疗的临床效果。方法:选择2017年3月~2018年3月本院收治的78例缺血性心肌病心力衰竭患者。根据入院顺序编号并利用随机数表法分组,对照组(n=39)患者采用常规药物进行治疗,观察组(n=39)患者在对照组常规药物治疗的基础上采用冠状动脉支架治疗。观察两组患者治疗效果、相关数据指标以及在治疗前、后的NYHA分级变化情况,同时检测记录两组治疗前后X射线心胸比、6min步行距离,并做对比分析。结果:观察组治疗总有效率高于对照组(P<0.05);经治疗,观察组患者左心室心肌量指数、左室舒张压末期内径、左室后壁舒张末期厚度等指标均优于对照组(P<0.05),且治疗后观察组患者左室射血分数高于对照组(P<0.05),但两组患者室间隔舒张末期厚度比较则无明显差异(P>0.05);治疗前两组患者NYHA分级情况无明显差异(P>0.05),治疗后两组NYHA分级均有大幅度改善,但观察组患者改善情况优于对照组(P<0.05)。两组治疗前X射线心胸比、6min步行距离无统计意义(P>0.05);治疗后观察组X射线心胸比低于对照组,且观察组治疗后6min不行距离大于对照组,差异有统计学意义(P<0.05)。结论:予以缺血性心肌病心力衰竭患者冠状动脉支架治疗可取得较为理想的治疗效果。Objective:To analyze the clinical effect of coronary stenting on heart failure in ischemic cardiomyopathy.Methods:Choose 78 patients with a patient who was treated in the hospital from March 2017 to March 2018.According to the sequence of admission and the grouping of random number tables,patients in the control group(n=39)were treated with conventional drugs.The observation group(n=39)patients were treated with coronary stent on the basis of conventional drug therapy in the control group.Observe the treatment effects of the two groups,related data indicators,and the NYHA classification change before and after treatment.At the same time,the X-ray heart ratio,6min walking distance before and after the two groups were detected and recorded.Results:The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05);After treatment,the left ventricular myocardial mass index,left ventricular end-diastolic pressure inner diameter,left ventricular posterior wall end-diastolic thickness and other indexes of the observation group were better than those of the control group(P<0.05),and the left ventricular ejection fraction of the observation group after treatment higher than the control group(P<0.05),but there was no significant difference in the end-diastolic thickness of the ventricular septum between the two groups(P>0.05);There was no significant difference in NYHA classification between the two groups before treatment(P>0.05).After treatment,the NYHA classification of the two groups was significantly improved,but the improvement of the observation group was better than that of the control group(P<0.05).Conclusion:Coronary artery stent treatment for patients with ischemic cardiomyopathy and heart failure can achieve a relatively ideal therapeutic effect.

关 键 词：冠状动脉支架 缺血性心肌病 心力衰竭 

分 类 号：R541.6[医药卫生—心血管疾病]