左胸小切口冠状动脉旁路移植术对冠心病患者生活质量的影响  

Effect of coronary artery bypass grafting through left thoracic small incision on quality of life in coronary heart disease patients

作　　者：沙博欣 晋美 高爽 Sha Boxin;Jin Mei;Gao Shuang(Department of Neuromedicine Center,Baoding First Hospital,Baoding 071000,Hebei,China;Department of Cardiovascular Surgery,Baoding Second Central Hospital,Baoding 071000,Hebei,China)

机构地区：[1]保定市第一医院神经医学中心,河北保定071000 [2]保定市第二中心医院心血管科,河北保定071000

出　　处：《血管与腔内血管外科杂志》2023年第6期731-734,753,共5页Journal of Vascular and Endovascular Surgery

基　　金：保定市科技计划项目(2141ZF026)。

摘　　要：目的探讨左胸小切口冠状动脉旁路移植术对冠心病患者生活质量的影响。方法收集2021年7月至2022年7月于保定市第一医院就诊的80例冠心病患者的临床资料,按照手术方法的不同将其分为移植组(n=40,行左胸小切口冠状动脉旁路移植术)和支架组(n=40,行冠状动脉支架植入术)。术后1个月,比较两组患者的西雅图心绞痛调查量表(SAQ)评分和6分钟步行试验距离,分析两组患者血运重建成功情况、随访期间不良心血管事件发生情况。结果两组患者均成功实施血运重建,术后1个月随访期间均未发生严重不良心血管事件。移植组患者SAQ评分中躯体活动受限程度评分低于支架组患者,治疗满意程度、心绞痛稳定程度、心绞痛发作程度、疾病认识程度评分均高于支架组患者,差异均有统计学意义(P﹤0.05)。移植组患者6分钟步行试验距离远于支架组患者,差异有统计学意义(P﹤0.05)。结论左胸小切口冠状动脉旁路移植术对冠心病患者有较好的疗效,可显著改善患者术后短期生活质量及6分钟步行试验距离。Objective To investigate the effect of coronary artery bypass grafting through left thoracic small incision on the quality of life of coronary heart disease patients.Method The clinical data of 80 patients with coronary heart disease who visited the Baoding First Hospital from July 2021 to July 2022 were collected.They were divided into transplant group(n=40,coronary artery bypass grafting with left thoracic small incision)and stent group(n=40,coronary artery stenting)according to different surgical methods.After the surgery one month,the Seattle angina questionnaire(SAQ)score and the six-minute walk test distance were compared between the two groups,the success of revascularization and the occurrence of adverse cardiovascular events during follow-up were analyzed between the two groups.Result Revascularization was successfully performed in both groups,and no serious adverse cardiovascular events occurred during the one-month follow-up after the surgery.The score of physical activity restriction in the SAQ score in transplant group was lower than that in the stent group,the scores of treatment satisfaction,angina stability,angina attack and disease awareness were higher than those in the stent group,the differences were statistically significant(P<0.05).The six-minute walk test distance in the transplant group was longer than that in the stent group,the difference was statistically significant(P<0.05).Conclusion Coronary artery bypass grafting through left thoracic small incision has a good effect on patients with coronary heart disease,and could significantly improve their short-term quality of life and six-minute walking distance after the surgery.

关 键 词：左胸小切口冠状动脉旁路移植术 冠心病 支架植入术 

分 类 号：R543[医药卫生—心血管疾病]