CAJ | 학술논문

　　目的探讨重症心脏辨膜病患者的外科治疗效果。方法收集我院2007年3月～2009年4月收治的86例重症心脏瓣膜病患者的临床资料，按照患者自愿原则分为观察组和对照组各43例，对照组采用保守治疗，观察组进行外科手术治疗，比较两组患者临床治疗效果及3年存活率差异，进行统计学分析。结果观察组患者治疗前出现3例死亡病例，1例并发症，3年存活37例；对照组治疗期间死亡27例，3年存活7例，两组患者的治疗效果和3年存活率均具有较大差异，（均P＜0.05）。结论重症心脏瓣膜病在临床治疗期间采用外科手术治疗，进行瓣膜修复或置换可以有效的提高患者的临床治疗效果，增加患者的存活率，如果临床患者的身体和经济条件允许，就可以推荐患者使用外科手术治疗，提高患者治疗有效率。
　　목적탐토중증심장변막병환자적외과치료효과。방법수집아원2007년3월～2009년4월수치적86례중증심장판막병환자적림상자료，안조환자자원원칙분위관찰조화대조조각43례，대조조채용보수치료，관찰조진행외과수술치료，비교량조환자림상치료효과급3년존활솔차이，진행통계학분석。결과관찰조환자치료전출현3례사망병례，1례병발증，3년존활37례；대조조치료기간사망27례，3년존활7례，량조환자적치료효과화3년존활솔균구유교대차이，（균P＜0.05）。결론중증심장판막병재림상치료기간채용외과수술치료，진행판막수복혹치환가이유효적제고환자적림상치료효과，증가환자적존활솔，여과림상환자적신체화경제조건윤허，취가이추천환자사용외과수술치료，제고환자치료유효솔。
Objective To analyze surgical treatment effect of patients with severe cardiac valvular. Methods 86 cases of severe valvular heart disease were divided into observation group and control group with 43 cases in each, from March 2007 to April 2009 in our hospital in accordance with the principle of voluntary patients.The control group was treated with conservative treatment,the observation group was given surgical treatment,and clinical effect and three-year survival differences were statistically analyzed between the two groups. Results There were 3 cases of death in observation group before treatment,one case of complication,and 37 cases of 3 year survival;the control group happened 27 cases of death during treatment,7 cases of 3-year survival,there were significant differences in therapeutic effect and 3-year survival between the two groups(P<0.05). Conclusion Valve repair or replacement can effectively improve the clinical treatment of patients,increased patient survival by using surgical treatment during the clinical treatment of severe cardiac valve disease.If patient's physical and economic conditions permit,we can recommend the patient using surgical treatment,improve treatment efficiency.