摘要
目的探讨经桡动脉介入术对冠心病合并慢性左心衰竭患者术后心功能改善及生活质量的影响。方法将98例冠心病合并慢性左心衰竭患者根据手术不同入路分为两组，每组49例。对照组行经股动脉介入术，观察组行经桡动脉介入术，术后随访3个月。比较两组手术前及术后3个月心功能、生活质量及术后并发症发生率。结果术后3个月两组左室射血分数较手术前显著升高（P〈0．05），左室收缩末期内径、左室舒张末期内径较手术前显著降低（P〈0．05），组间比较差异无统计学意义（P〉0．05）；两组明尼苏达心力衰竭生活质量量表评分均住手术前显著降低（P〈0．01），观察组显著低于对照组（P〈0．01）。观察组术后并发症发生率为4．1％，对照组为16．3％，观察组显著低于对照组（P〈0．05）。结论经桡动脉介入术治疗冠心病合并慢性左心衰竭可有效改善患者心功能，术后并发症少，能显著提高患者的生活质量。
Objective To explore the effect of transradial intervention on the improvement of cardiac function and quality of life in patients with coronary heart disease complicated with chronic left heart failure. Methods 98 patients with coronary heart disease and chronic left heart failure were divided into two groups according to different surgical approaches. There were 49 cases in each group. The control group was treated by femoral artery intervention. The observation group was treated with radial artery intervention. The patients were followed up for 3 months. The cardiac function, quality of life and the incidence of postoperative complications were compared between the two groups before and 3 months after operation. Results In the 3 months after surgery, two groups of left ventricular ejection fraction was significantly in- creased compared with that before operation （P〈 0.05）, left ventricular end systolic diameter, left ventricular end diastolic diameter were significantly lower than those before operation （P〈 0.05）, and there was no statistically significant difference between groups （P〉0.05） ; The scores of Minnesota Heart Failure Quality of Life Scale were significantly lower than those before operation （P〈0.01）, and the observation group was significantly lower than the control group （P〈0.01）. The incidence of postoperative complications was 4.1% in the observation group and 16. 3% in the control group, which was significantly lower in the observation group than in the control group （P〈 0.05）. Conclusion Transradial intervention for coronary heart disease with chronic left heart failure can effectively improve the patient＇s cardiac function, less postoperative complications, and can significantly improve the quality of life of the patients.
出处
《临床心身疾病杂志》
CAS
2017年第4期117-119,共3页
Journal of Clinical Psychosomatic Diseases
关键词
冠心病
慢性左心衰竭
经桡动脉介入术
心功能
生活质量
并发症
Coronary heart disease
chronic left heart failure
radial artery intervention
cardiac function
life quality
complication
