同期心脏瓣膜置换术联合冠状动脉旁路移植术对中度冠脉病变合并心脏瓣膜病患者SAQ评分的影响  

The impact of concomitant heart valve replacement and coronaryartery bypass grafting on the SAQ score in patients with moderatecoronary artery disease and valvular heart disease

作　　者：石静宝[1] 张瑞成[2] 牛红星[1] 吉占全[1] 余筱 SHI Jingbao;ZHANG Ruicheng;NIU Hongxing;JI Zhanquan;YU Xiao(Department of Cardiothoracic Surgery,Anyang District Hospital,Anyang 455000,China;Department of Cardiovascular Surgery,Henan Chest Hospital,Zhengzhou 450008,China)

机构地区：[1]濮阳市安阳地区医院心胸外一科,河南安阳455000 [2]河南省胸科医院心血管外科一病区,河南郑州450008

出　　处：《黑龙江医药科学》2025年第4期29-31,28,共4页Heilongjiang Medicine and Pharmacy

基　　金：河南医学科技攻关计划联合共建项目,编号:LHGJ20201104。

摘　　要：目的:探究中度冠脉病变并心脏瓣膜病(heart valve disease, HVD)在同期心脏瓣膜置换术联合冠状动脉旁路移植术(coronary artery bypass grafting, CABG)作用下的西雅图心绞痛量表(seattle angina questionnaire, SAQ)评分观察。方法:选取2019年1月至2024年1月濮阳市安阳地区医院、河南省胸科医院收治的64例中度冠脉病变并HVD患者,选用随机数字表法,分为对照组和观察组,观察组采用同期心脏瓣膜置换术联合CABG治疗,对照组采用非同期心脏瓣膜术结合CABG治疗,对比分析患者手术相关指标、心功能、SAQ评分和不良事件率。结果:观察组住院天数、ICU监护时间、呼吸机插管时间低于对照组(P<0.05),主动脉阻断时间高于对照组(P<0.05);观察组、对照组干预前心功能指标差异不明显(P>0.05),干预后心胸比、左室舒张末容积低于干预前(P<0.05),左室射血分数高于干预前(P<0.05),观察组心胸比、左室舒张末容积低于对照组(P<0.05),左室射血分数高于对照组(P<0.05);观察组心绞痛发作程度、躯体受限程度、心绞痛稳定性、疾病认知程度和治疗满意度高于对照组(P<0.05);观察组不良事件率低于对照组(P<0.05)。结论:在中度冠脉病变并HVD患者疾病干预中实施同期心脏瓣膜置换术联合CABG具有显著的价值,其能够改善患者手术相关指标,改善患者心功能,实现患者生活质量改善,降低不良事件率。Objective:Explore moderate Coronary Artery lesions and heart valve disease(HVD)in cardiac valve replacement combined coronary artery bypass grafting(CABG).Score observation of the Seattle Angina Questionnaire(SAQ)under the influence of CABG.Methods:The study period was from January 2019 to January 2024.The study subjects were 64 patients with moderate coronary artery disease and HVD in Anyang Regional Hospital and Henan Chest Hospital of Puyang City.Random number table method was used to divide them into control group and observation group.The observation group was treated with concurrent heart valve replacement and coronary artery bypass grafting CABG,while the control group was treated with non-concurrent heart valve combined with CABG Surgery-related indexes,heart function,SAQ score and adverse event rate were compared and analyzed.Results:The hospitalization days,ICU monitoring time and ventilator intubation time in observation group were lower than those in control group(P<0.05),and the aortic occlusion time was higher than that in control group(P<0.05).There were no significant differences in cardiac function indexes between observation group and control group before intervention(P>0.05).Cardiothoracic ratio and left ventricular end-diastolic volume after intervention were lower than before intervention(P<0.05),LVEF was higher than before intervention(P<0.05),cardiothoracic ratio and left ventricular end-diastolic volume in observation group were lower than control group(P<0.05).LVEF was higher than that of control group(P<0.05).Angina attack degree,physical limitation degree,angina stability,disease cognition degree and treatment satisfaction degree in observation group were higher than those in control group(P<0.05).The adverse event rate of observation group was lower than that of control group(P<0.05).Conclusion:The implementation of concurrent heart valve replacement and CABG in the disease intervention of patients with moderate coronary artery disease and HVD has significant value,which can improve th

关 键 词：中度冠脉病变 心脏瓣膜病 同期心脏瓣膜置换术 冠状动脉旁路移植术 西雅图心绞痛评分 

分 类 号：R541.4[医药卫生—心血管疾病]