摘要
目的观察冠心病临界病变介入治疗中应用冠状动脉造影联合血流储备分数的效果。方法回顾性分析医院诊断治疗的冠心病临界病变患者60例的临床资料,根据是否实施血流储备分数测定分为观察组和对照组,每组30例。2组均给予经皮冠状动脉介入治疗(PCI)。对照组治疗前行冠状动脉造影,观察组行冠状动脉造影联合血流储备分数检查。随访1年,比较2组主要不良心血管事件发生率。结果观察组无再次血运重建患者、无急性心肌梗死患者,出现心绞痛1例,总发生率为3. 3%,低于对照组的30. 0%,差异有统计学意义(P <0. 05)。结论冠心病临界病变介入治疗中应用冠状动脉造影联合血流储备分数测定选择PCI治疗能够减少术后主要心血管事件发生率。
Objective To observe the effect of coronary angiography combined with flow reserve fraction in interventional treatment of critical lesions of coronary heart disease.Methods The clinical data of 60 patients with critical lesions of coronary heart disease( CHD) were retrospectively analyzed.They were divided into observation group and control group according to whether the blood flow reserve fraction was measured or not,30 cases in each group.Both groups were treated with percutaneous coronary intervention( PCI).The control group underwent coronary angiography before treatment,while the observation group underwent coronary angiography combined with blood flow reserve score examination.The incidence of major adverse cardiovascular events was compared between the two groups after a 1-year follow-up.Results In the observation group,angina pectoris occurred in 1 case( 3.3%).It was lower than 30.0% of the control group( P < 0.05).There were no patients with revascularization and no patients with acute myocardial infarction.Conclusion The application of coronary angiography combined with flow reserve fraction measurement in interventional therapy for critical lesions of coronary heart disease can reduce the incidence of major cardiovascular events after PCI.
作者
梁广柱
LIANG Guang-zhu(Department of Cardiovascular Medicine, Dongguan People's Hospital, Guangdong 523000, China)
出处
《临床合理用药杂志》
2019年第8期3-4,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
冠状动脉造影
血流储备分数
冠心病临界病变
介入治疗
指导作用
Coronary angiography
Blood flow reserve fraction
Critical lesions of coronary heart disease
Interven tional therapy
Guiding role
