摘要
目的:对比应用经皮冠状动脉介入(PCI)术对冠心病心绞痛患者进行治疗时采用药物涂层球囊治疗与支架植入治疗的效果。方法:回顾性选取2023年3月至2025年4月诏安县医院接收的170例冠心病心绞痛患者为观察对象,根据治疗方法分组,将PCI术中进行支架植入治疗的119例患者纳入对照组,将采用药物涂层球囊治疗的51例患者纳入观察组。比较两组患者的心功能指标、手术指标、再狭窄发生情况及健康状况。结果:术后3个月,观察组的6分钟步行试验距离(6MWT)长于对照组,左室收缩末期内径(LVESD)、左室舒张末期内径(LVEDD)短于对照组,左室射血分数(LVEF)高于对照组,每搏输出量(SV)大于对照组,差异均有统计学意义(P<0.05)。术后3个月,观察组西雅图心绞痛量表(SAQ)各项评分均高于对照组,差异有统计学意义(P<0.05)。术后即刻,观察组管腔狭窄程度小于对照组,最小管腔直径(MLD)长于对照组,差异均有统计学意义(P<0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。观察组再狭窄发生率低于对照组,差异有统计学意义(P<0.05)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论:采用PCI术治疗冠心病心绞痛时,药物涂层球囊的效果优于支架植入,同时可改善患者的手术指标、心功能及患者健康状况。
Objective:To compare the effects of percutaneous coronary intervention(PCI)with drug-coated balloon therapy and stent implantation in patients with angina pectoris.Methods:Retrospectively selected 170 patients with coronary heart disease angina pectoris received by the hospital from March 2023-April 2025 as the main observation object.According to the treatment methods,119 patients treated with stent implantation during PCI were included in the control group,51 patients treated with drug coating balloon were included in the observation group,and the cardiac function index,surgical index,restenosis and health status of the two groups were compared.Results:Three months after operation,the 6-minute walking test distance(6MWT)in the observation group was longer than that in the control group,and the left ventricular end systolic diameter(LVESD)and left ventricular end diastolic diameter(LVEDD)were shorter than those in the control group,and the left ventricular ejection fraction(LVEF)was higher than that in the control group,and the stroke output(SV)was higher than that in the control group,with statistical significance(P<0.05).Three months after operation,the scores of Seattle Angina Scale(SAQ)in the observation group were higher than those in the control group,with statistical significance(P<0.05).Immediately after operation,the degree of lumen stenosis in the observation group was less than that in the control group,and the microvascular disease(MLD)was longer than that in the control group,with statistical significance(P<0.05).The total effective rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of restenosis in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion:In the course of coronary heart disease and angina pectoris,the effect of PCI treatment is better than that of stent treatment,and it is more beneficial to the recovery of cardiac function and the improvement of health status.
作者
程曦
CHENG Xi(Zhao'an County Hospital,Zhao'an 363500,China)
出处
《临床医药实践》
2026年第2期100-104,共5页
Proceeding of Clinical Medicine
关键词
经皮冠状动脉介入术
冠心病心绞痛
药物涂层球囊
支架植入
效果
percutaneous coronary intervention
angina pectoris of coronary heart disease
drug-coated balloon
stent implantation
effect
