摘要
目的分析侧支循环对前降支单支病变冠心病PCI手术对患者心脏功能产生的影响。方法方便选择2014年10月—2015年10月期间该院接收并应用PCI手术进行治疗的前降支单支病变患者80例为研究对象,以是否存在侧支循环为依据,将患者分为两组,观察组40例,有侧支循环存在,对照组40例,无侧支循环,对两组患者术后的心脏功能进行比较分析。结果术后3个月,观察组LVEDD是(50.21±5.43)mm,LVES是(45.86±5.35)mm,LVEF是(47.53±6.23)%,E/A是(1.04±0.28),BNP是(85.02±9.21),对照组LVEDD是(51.55±5.13)mm,LVESD是(47.21±5.26)mm,LVEF是(45.88±6.53)%,E/A是(0.92±0.31),BNP是(89.52±9.69),观察组心功能各项指标改善程度明显比对照组优越,差异有统计学意义(P<0.05)。结论侧支循环能够使前降支单支病变患者行PCI术后的心脏功能得到有效改善,进而使患者预后得到改善。
Objective To analysis the anterior descending of collateral circulation single lesion of coronary artery disease on the impact of cardiac function in patients with PCI surgery. Methods Convenient choice during October 2014 to October 2015, our hospital receives and the application of PCI surgery treatment of the anterior descending of single lesion patients 80 cases as the research object, based on any collateral circulation, divided the patients into two groups： observation group 40 cases, the presence of collateral circulation, and the control group, 40 cases without collateral circulation, compares two groups of patients with postoperative cardiac function analysis. Results 3 months postoperatively, LVEDD observation group is（50.21±5.43） mm, LVES was （45.86± 5.35） mm, LVEF was （47.53±6.23） %, E/A is （1.04±0.28）, BNP is （85.02±9.21）, the control group LVEDD was （51.55±5.13） mm, LVESD is （47.21±5.26） mm, LVEF was （45.88±x6.53） %, E/A is （0.92±0.31）, BNP is（89.52± 9.69）, observation group cardiac function improved significantly than control group is superior, the indicators there is statistical significance difference （P〈 0.05）. Conclusion The anterior descending collateral circulation can make single line of PCI postoperative cardiac function in patients with lesions effectively improved, and then improve the progno-sis of patients.
出处
《中外医疗》
2016年第23期100-102,共3页
China & Foreign Medical Treatment
关键词
前降支单支病变
冠心病
侧支循环
PCI
心脏功能
PCI
Before descending single lesion
Coronary heart disease
Collateral circulation
PCI
Heart function
