经皮房间隔缺损封堵术介入治疗先天性心脏病的效果  

Effect of Percutaneous Atrial Septal Defect Closure in the Treatment of Congenital Heart Disease

作　　者：郭小虎 雷智慧 Guo Xiaohu;Lei Zhihui(Department of Cardiology,Lanzhou First People's Hospital1,Lanzhou 730050,Gansu Province,China;Department of Function Division,Lanzhou First People's Hospital2,Lanzhou 730050,Gansu Province,China)

机构地区：[1]兰州市第一人民医院心内科,甘肃兰州730050 [2]兰州市第一人民医院功能科,甘肃兰州730050

出　　处：《中外医药研究》2023年第33期43-45,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析经皮房间隔缺损(ASD)封堵术介入治疗先天性心脏病的临床效果。方法:选取2022年4月—2023年4月兰州市第一人民医院收治的先天性心脏病患者60例为观察对象,根据随机数字表法分为观察组与对照组,各30例。观察组接受经皮ASD封堵术介入治疗,对照组接受卵圆孔未闭封堵术治疗。比较两组治疗效果、并发症发生情况、生存质量、恢复情况。结果:观察组治疗效果总有效率高于对照组,差异有统计学意义(P=0.023);观察组并发症发生率低于对照组,差异有统计学意义(P=0.038);治疗后,两组生理、心理、情感、社会评分均升高,观察组高于对照组,差异有统计学意义(P<0.05);治疗后,两组左心室舒张末期内径、右心室舒张末期内径、三尖瓣反流面积、三胸比水平均升高,观察组高于对照组,差异有统计学意义(P<0.05);观察组胸腔引流量少于对照组,住院时间短于对照组,差异有统计学意义(P<0.001)。结论:经皮ASD封堵术介入治疗先天性心脏病效果显著,可提高患者生存质量,降低并发症发生率,改善临床指标,促进康复。Objective:To analyze the clinical effect of percutaneous atrial septal defect(ASD)closure in the treatment of congeni-tal heart disease.Methods:Sixty patients with congenital heart disease admitted to Lanzhou First People's Hospital from April 2022 to April 2023 were selected as the observation objects,and were divided into observation group and control group according to random number table method,with thirty cases in each group.The observation group was treated with percutaneous ASD and the control group was treated with patent foramen ovale.The treatment effect,complications,quality of life and recovery were com-pared between the two groups.Results:The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P=0.023);The complication rate of the observation group was lower than that of the con-trol group,the difference was statistically significant(P=0.038);After treatment,the physiological,psychological,emotional and social scores of both groups were increased,and the observation group was higher than the control group,the difference was statis-tically significant(P<0.05);After treatment,the left ventricular end-diastolic diameter,right ventricular end-diastolic diameter,tricuspid valve regurgitant area and triple chest ratio were all increased in 2 groups,observation group was higher than control group,and the difference was statistically significant(P<0.05);The thoracic drainage volume of the observation group was less than that of the control group,and the hospital stay was shorter,the difference was statistically significant(P<0.001).Conclusion:Percutaneous ASD is effective in the treatment of congenital heart disease,which can improve the quality of life of patients,reduce the incidence of complications,improve clinical indicators and promote rehabilitation.

关 键 词：介入疗法 先天性心脏病 生存质量 房间隔缺损 

分 类 号：R54[医药卫生—心血管疾病]