不稳定性心绞痛介入治疗与药物治疗的疗效比较  

Comparation of the therapeutic effects in treating Unstable Angina with drugs and interventional methods

作　　者：杨绍祥[1] 陈玉国[2] 

机构地区：[1]济南军区总医院心内科,济南250014 [2]山东大学医学院山东大学齐鲁医院,济南250014

出　　处：《海南医学》2002年第11期52-53,共2页Hainan Medical Journal

摘　　要：目的　比较经皮冠脉介入治疗 (percutaneouscoronaryinterventionPCI)和药物治疗不稳定性心绞痛 (Unsta bleAnginaUP)的近期临床疗效。方法　 96例不稳定性心绞痛患者分两组 ,41例行PCI,5 5例给予阿司匹林、低分子肝素、硝酸酯类及 β受体阻滞剂等治疗。观察两组患者住院期间临床症状和心电图变化以及 6个月主要心血管事件的发生率。结果　介入组显效率显著高于常规药物治疗组 ,尤其是中高危病人 ,主要心血管事件的发生率低于单纯药物治疗组。结论　不稳定性心绞痛特别是高危病人介入治疗优于药物治疗。Objective:To Compare the clinical effects of treating Unstable Angina with drugs and interventional methods. Method:96 patients were divided into two groups,one group treated with PCI (including percutaneous transluminal coronary angioplasty and stenting),anther with traditional drugs alone including Aspirin,low-molecul-weigh heparin,nitrtates,β-blockers and so on. We observed the in-hospital changes of clinical symptoms and electrocardiograph(ECG)and the major cardiac adverse events at 6 months. Result:the distinctly impriving rate of interventional group was much higher than that of the drug-treated group ,particularly in patients at intermediate and high-risk.And the former was associated with lower cardiac events compared with the latter. Conclusion:The therapeutic effect of interventional treatment was prior to that of the drug- treatment.

关 键 词：疗效 不稳定性心绞痛 介入治疗 药物治疗 对比分析 UP 

分 类 号：R541.4[医药卫生—心血管疾病]