摘要
目的:分析经皮腔内支架成形术治疗下肢动脉硬化闭塞的效果。方法:选取2020年1月—2023年3月首都医科大学石景山教学医院北京石景山医院收治的86例下肢动脉硬化闭塞患者作为研究对象,采取随机数字表法分为两组,各43例。对照组实施球囊扩张术,观察组实施经皮腔内支架成形术。比较两组治疗效果。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P=0.044)。治疗后,两组跛行距离及踝肱指数大于治疗前,且观察组大于对照组,差异有统计学意义(P<0.001)。观察组脑梗死、脑出血、截肢发生率低于对照组,差异有统计学意义(P<0.05)。治疗后,两组各项生活质量评分高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.001)。结论:经皮腔内支架成形术治疗下肢动脉硬化闭塞的效果较好,可增加跛行距离,降低不良事件发生率,改善患者生活质量,值得推广。
Objective:To analyze the effect of percutaneous transluminal stent angioplasty in the treatment of lower limb arteriosclerosis occlusion.Methods:A total of 86 patients with lower limb arteriosclerosis occlusion admitted to Beijing Shijingshan Hospital,Capital Medical University Shijingshan Teaching Hospital from January 2020 to March 2023 were selected as the study subjects.They were divided into two groups using a random number table method,with 43 patients in each group.The control group underwent balloon dilation surgery,while the observation group underwent percutaneous transluminal stent angioplasty.The therapeutic effects of the two groups were compared.Results:The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.044).After treatment,the claudication distance and ankle brachial index in the two groups were greater than those before treatment,and these indexes in the observation group were greater than those in the control group,with a statistically significant difference(P<0.001).The incidence of cerebral infarction,cerebral hemorrhage,and amputation in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the quality of life scores in the two groups were higher than those before treatment,and the scores in the observation group were higher than those in the control group,with a statistically significant difference(P<0.001).Conclusion:Percutaneous transluminal stent angioplasty has good effects in treating lower limb arteriosclerosis occlusion,and can increase claudication distance,reduce the incidence of adverse events,and improve patient quality of life.It is worth promoting.
作者
厉胜
晋炳申
Li Sheng;Jin Bingshen(Department of Cardiovascular Surgery,Beijing Shijingshan Hospital,Capital Medical University Shijingshan Teaching Hospital,Beijing 100043,China)
出处
《中国社区医师》
2024年第9期41-43,共3页
Chinese Community Doctors
关键词
下肢动脉硬化闭塞
经皮腔内支架成形术
球囊扩张术
Lower limb arteriosclerosis occlusion
Percutaneous transluminal stent angioplasty
Balloon dilation surgery
