摘要
目的探讨生物瓣膜置换术治疗老年心脏瓣膜病的临床研究。方法选择我院收治的100例老年心脏瓣膜病患者为对象,采用掷币法进行分组,分为对照组(50例)与研究组(50例)。对照组采用机械瓣膜置换术治疗,研究组采用生物瓣膜置换术治疗。结果研究组的治疗成功率为84.00%,对照组的治疗成功率为66.00%,研究组的治疗成功率高于对照组,差异有统计学意义(P<0.05);研究组的死亡率为4.00%,对照组的死亡率为18.00%,研究组的死亡率低于对照组,差异有统计学意义(P<0.05);研究组的手术时间短于对照组,差异有统计学意义(P<0.05);研究组的住院时间短于对照组,差异有统计学意义(P<0.05);研究组的治疗后LVEF高于对照组,差异有统计学意义(P<0.05);研究组的治疗后LVEDD指标高于对照组,差异有统计学意义(P<0.05);研究组的并发症发生率为4.00%,对照组的并发症发生率为26.00%,研究组的并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论老年心脏瓣膜病应用生物瓣膜置换术治疗的效果确切。
Objective to explore the clinical study of biological valve replacement in the treatment of valvular heart disease in the elderly.Methods 100 cases of elderly patients with heart valve disease in our hospital were selected as objects,and were divided into control group(50 cases)and research group(50 cases)by coin toss method.Mechanical valve replacement was used in the control group and biological valve replacement was used in the research group.Results The treatment success rate of the research group was 84.00%,and that of the control group was 66.00%.The treatment success rate of the research group was higher than that of the control group,and the difference was statistically significant(P<0.05).The death rate of the research group was 4.00%,and that of the control group was 18.00%.The death rate of the research group was lower than that of the control group,and the difference was statistically significant(P<0.05).The operation time of the study group was shorter than that of the control group,and the difference was statistically significant(P<0.05).The length of stay in the study group was shorter than that in the control group,and the difference was statistically significant(P<0.05).After treatment,LVEF in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the LVEDD index of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the research group was 4.00%,while that in the control group was 26.00%.The incidence of complications in the research group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Biological valve replacement is effective in the treatment of senile cardiac valvular disease.
作者
周钧
孟春营
刘海燕
曾碧茹
郑奇军
温定国
李大刚
ZHOU Jun;MENG Chun-ying;LIU Hai-yan(Department of Cardiac Macrovascular Surgery,The Second Affiliated Clinical Medical College of Jinan University(Shenzhen People's Hospital),Shenzhen 518020,Guangdong Province,China)
出处
《罕少疾病杂志》
2019年第4期10-11,14,共3页
Journal of Rare and Uncommon Diseases
关键词
生物瓣膜置换术
老年
心脏瓣膜病
临床研究
Biological Valve Replacement
Old Age
Valvular Heart Disease
Clinical Research
