摘要
目的评估分析冠脉介入治疗(perutaneous coronary intervention,PCI)冠心病(coronary atherosclerotic heart disease,CAD)心绞痛(angina pectoris,AP)的临床效果。方法纳入2018年9月—2021年9月新汶矿业集团莱芜中心医院收治的AP患者96例,通过全盲掷币方式将其分为比对、研究两组,每组48例。比对组患者接受常规口服给药保守治疗,研究组给予患者PCI治疗。对比两组患者心功能水平、症状发生情况、意外风险事件发生率及疗效优良率。结果两组患者意外风险事件发生率对比,差异无统计学意义(P>0.05);研究组患者心功能水平均显著优于比对组,差异有统计学意义(P<0.05);研究组患者症状发生情况显著低于比对组,差异有统计学意义(P<0.05);研究组患者疗效优良率(91.66%)显著高于比对组(75.00%),差异有统计学意义(χ^(2)=4.800,P<0.05)。结论应用PCI治疗办法可以有效缓解AP的相关反应症状,明显减少心绞痛的发作次数及其影响,患者心功能恢复更好,显著提升整体治疗效果,但部分患者对PCI治疗办法不耐受,也可选取保守药物治疗办法,临床治疗方案的选取应根据实际情况作以合理判断。
Objective To evaluate and analyze the percutaneous coronary intervention(PCI),coronary atherosclerotic heart disease(CAD)and angina pectoris(AP).Methods 96 patients with AP admitted to Laiwu Central Hospital of Xinwen Mining Group from September 2018 to September 2021 were included,and they were divided into two groups,comparison and study,by fully blinded coin toss,with 48 cases in each group.Patients in the comparison group received conservative treatment with conventional oral administration;patients in the study group were treated with PCI.The level of cardiac function,the occurrence of symptoms,the incidence of unexpected risk events and the rate of good outcomes were compared between the two groups.Results There was no significant difference in the incidence of accidental risk events between the two groups(P>0.05).The cardiac function level of the patients in the study group was significantly better than that in the comparison group,and the difference was statistically significant(P<0.05);the incidence of symptoms in the study group was significantly lower than that in the comparison group,and the difference was statistically significant(P<0.05);the excellent and good rate of patients in the study group(91.66%)was significantly higher than that in the comparison group(75.00%),and the difference was statistically significant(χ^(2)=4.800,P<0.05).Conclusion The application of PCI therapy effectively alleviates the symptoms associated with AP,significantly reduces the number of angina attacks and their effects,and the patient's cardiac function recovers better,significantly improving the overall treatment outcome.However,some patients who are intolerant to PCI treatment may also choose conservative pharmacological treatment,and the choice of clinical treatment plan should be based on the actual situation for reasonable judgment.
作者
刘萍
马坤
LIU Ping;MA Kun(Department of Cardiology,Laiwu Central Hospital of Xinwen Mining Group,Laiwu,Shandong Province,271103 China;Department of Clinical Laboratory,Laiwu Central Hospital of Xinwen Mining Group,Laiwu,Shandong Province,271103 China)
出处
《世界复合医学》
2022年第5期126-129,共4页
World Journal of Complex Medicine
