球囊扩张成形术联合支架置入术治疗老年下肢动脉硬化闭塞症患者的临床效果  

Clinical Effect of Balloon Dilatation Angioplasty Combined with Stent Implantation in the Treatment of Elderly Patients with Lower Extremity Arteriosclerosis Obliterans

作　　者：黄剑冰 夏永立 李应甫 HUANG Jianbing;XIA Yongli;LI Yingfu(Department of Thoracic and Cardiovascular Surgery,Luoyang Third People's Hospital,Luoyang 471100,China)

机构地区：[1]洛阳市第三人民医院胸心血管外科,河南洛阳471100

出　　处：《临床医学工程》2024年第6期677-678,共2页Clinical Medicine & Engineering

摘　　要：目的探讨球囊扩张成形术联合支架置入术治疗老年下肢动脉硬化闭塞症的临床效果。方法80例老年下肢动脉硬化闭塞症患者随机分为两组,对照组采用药物保守治疗,观察组采用球囊扩张成形术联合支架置入术治疗,比较两组的治疗效果、踝肱指数(ABI)以及间歇性跛行距离。结果观察组的治疗总有效率为97.50%,高于对照组的80.00%(P<0.05)。治疗后,观察组的ABI高于对照组,间歇性跛行距离长于对照组(P<0.05)。结论球囊扩张成形术联合支架置入术治疗老年下肢动脉硬化闭塞症的临床效果显著,可改善患者的下肢血运,延长患者的间歇性跛行距离。Objective To explore the clinical effect of balloon dilatation angioplasty combined with stent implantation in the treatment of elderly lower extremity arteriosclerosis obliterans.Methods 80 elderly patients with lower extremity arteriosclerosis obliterans were randomly divided into two groups.The control group received drug conservative therapy,and the observation group was treated with balloon dilatation angioplasty combined with stent implantation.The therapeutic effect,ankle brachial index(ABI)and intermittent claudication distance were compared between the two groups.Results The total effective rate of treatment in the observation group was 97.50%,higher than 80.00%in the control group(P<0.05).After treatment,the ABI in the observation group was higher than that in the control group,and the intermittent claudication distance was longer than that in the control group(P<0.05).Conclusions Balloon dilatation angioplasty combined with stent implantation in the treatment of elderly lower extremity arteriosclerosis obliterans has significant clinical effect,which can improve the blood supply of lower limbs and prolong the intermittent claudication distance of patients.

关 键 词：球囊扩张成形术 支架置入术 老年 下肢动脉硬化闭塞症 

分 类 号：R543.5[医药卫生—心血管疾病]