摘要
目的:评价平板运动试验(TET)对决定冠脉临界病变患者治疗方案的指导意义。方法:选择2004年1月至2007年4月在我院介入中心行冠状动脉造影(CAG)显示血管狭窄程度50%～70%的患者共115例,以上患者在CAG术后2～3d内行TET,再将TET结果阴性者分为A组(50例),TET阳性可疑患者分为B组(29例),TET结果阳性者分为C组(36例),最后比较三组中介入治疗及药物治疗比例,并对治疗效果随访1月～3年零4个月,记录主要不良心血管事件。结果:A组50例,其中46例采取药物治疗,4例予以介入治疗(PCI),B组29例,24例药物治疗,5例给予介入治疗;C组36例,介入治疗23例,药物治疗13例;C组介入治疗显著多于A、B两组(P<0.005),A、B两组药物治疗率显著多于C组(P<0.005),两种治疗率A、B组间无显著差异。结论:平板运动试验能客观地反应心肌缺血状况,且方法简便易行,对于有冠脉临界病变患者治疗有较大指导意义。
Objective： To evaluate direction value of treadmill exercise testing （TET） on determination therapeutic scheme of patient with critical pathological changes of coronary artery. Methods： A total of 115 patients with 50%- 70% angiostenosis by CAG were studied. The TET were choose 2-3 days after coronary angiography （CAG）. The patients who have negative, probable positive or positive TET results were diveded into group A （50 cases）, B （29 cases） or C （36 cases） respectively. Results： The rate of treat by PCI of group C was much higher than that of group A or B （P〈0. 005）. The rate of treat by drugs in group A or B was much higher than that of group C （P〈0. 005）. The rate of treat by PCI and drugs was no significant difference between group A and group B （P〉0.05）. Conclusion： The doctor would chose to do TET for the patients with critical pathological changes of coronary artery before treat, because TET has comparatively large directions meaning in clinic treatment.
出处
《心血管康复医学杂志》
CAS
2008年第3期293-295,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
运动试验
冠状血管造影术
冠状动脉疾病
Exercise testing
Coronary angiography
Coronary artery disease
