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介入治疗对冠状动脉临界病变患者近远期预后的影响研究 被引量：7

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摘要 目的比较介入治疗与药物治疗冠状动脉临界病变的非急性心肌梗死冠心病的预后。方法根据经皮冠状动脉介入治疗(PCI)结合药物治疗方法与单纯药物治疗这两种治疗方法,将220例冠脉临界病变的非急性心肌梗死冠心病患者分为PCI组112例(药物治疗基础上PCI)与药物组108例。比较两组患者随访期间的心脏不良事件,主要记录再发心绞痛、心律失常、心肌梗死、心力衰竭、死亡以及是否靶血管需要再次介入治疗情况。结果患者的平均随访时间是(15.2±4.6)个月。随访期间,PCI组再发心绞痛发生的比例(55.4%)明显高于药物组(32.4%),χ2=11.747,P=0.001;PCI组需要再次介入治疗的比例(31.2%)也明显高于药物组(13.0%),χ2=10.621,P=0.001;PCI组心力衰竭的发生比例(18.8%)也明显高于药物组的(9.3%),χ2=4.091,P=0.043。在心律失常、心肌梗死、死亡事件的发生比例上PCI组与药物组的差异无统计学意义(P>0.05)。结论 PCI治疗的主要心脏不良事件发生率高,与药物治疗相比,PCI治疗冠状动脉临界病变并无明显的优势。
作者 何荣华 岳新荣
机构地区 湖北省孝感市中心医院心血管内科 湖北职业技术学院医学院
出处 《检验医学与临床》 CAS 2014年第9期1219-1220,共2页 Laboratory Medicine and Clinic
基金 湖北省孝感市科技局资助项目(2012652)
关键词 冠状动脉 经皮冠状动脉介入治疗 血管内超声 主要心脏不良事件
分类号 R654.2 [医药卫生—外科学]
  • 相关文献

参考文献9

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共引文献19

同被引文献58

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引证文献7

二级引证文献29

检验医学与临床
2014年 第9期

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