摘要
目的研究裸支架(BMS)与药物支架(DES)对冠心病预后的影响。方法320例接受PCI术的患者,其中置入DES的病人182例,BMS的病人138例,进行了分析研究,其术后ISR发生率,术后心脏事件(ST、再梗塞、猝死)发生率,比较不同病变特征应用不同支架的效果。结果血管管径≥3 mm的病人BMS的再狭窄(ISR)率17(12.6%),DES的再狭窄(ISR)率5(3.1%)。血管管径<3 mm的病人BMS的再狭窄(ISR)率17(24%),DES的再狭窄(ISR)率4(4.8%)。心脏事件,其中BMS病人1例(0.07%),DES病人3例(1.6%)。结论血管ISR方面,DES明显优于BMS。心脏事件方面,BMS和DES,统计学没有差异。
Objective To explore the infection of BMS and DES to the prognosis of coronary heart disease. Metheds To select 320 patients underwent PCI of which 182 cases were implanted DES and 138 cases were implanted BMS. The occurrence rate of ISR and heart event (ST, reinfarction, sudden dease) were analysed and then different clinic signs and effects of different stents were compared with each other. Results Of the patients with blood tube ≥ 3 nun, ISR took place in 17 patients ( 12.6% ) after BMS and 5patients (3.1%) after DES. Of the patients with blood tube 〈3 man,occurrence rate of ISR is 24% after BMS and 4.8% after DES. The occurrence rate of heart event in BMS group is 0. 07% and in the DES group is 1.6%. Conclusion DES is much better than BMS on aspect of ISR has not statistic difference on aspect of heart event.
出处
《中国分子心脏病学杂志》
CAS
2008年第2期107-109,共3页
Molecular Cardiology of China