CAJ | 학술논문

　　目的：探讨经皮冠状动脉介入治疗在缺血性心肌病（ICM）中的临床应用及疗效预后。方法：2007年7月至2011年10月收治缺血性心肌病患者102例，其中58例为治疗组，行冠脉造影并行冠脉介入干预治疗，44例为对照组，虽有介入指征，但由于多种原因未行介入干预，两组患者均获正规药物治疗。结果：治疗组症状改善及 LVEF 值变化均显著优于对照组（P ＜0．05）；1年内急性左心衰、急性心肌梗死、心源性猝死等心血管事件的发生率显著低于对照组（P ＜0．05）。结论：早期介入干预对缺血性心肌病能显著改善患者症状及生存率，且时间越早，疗效越显著。
　　목적：탐토경피관상동맥개입치료재결혈성심기병（ICM）중적림상응용급료효예후。방법：2007년7월지2011년10월수치결혈성심기병환자102례，기중58례위치료조，행관맥조영병행관맥개입간예치료，44례위대조조，수유개입지정，단유우다충원인미행개입간예，량조환자균획정규약물치료。결과：치료조증상개선급 LVEF 치변화균현저우우대조조（P ＜0．05）；1년내급성좌심쇠、급성심기경사、심원성졸사등심혈관사건적발생솔현저저우대조조（P ＜0．05）。결론：조기개입간예대결혈성심기병능현저개선환자증상급생존솔，차시간월조，료효월현저。
Objective: To explore the clinical application and prognosis of percutaneous coronary interventional therapy in ischemic cardiomyopathy (ICM). Methods: 102 patients with ICM were diagnosed and treated from Jul 2007 to Oct 2011. 58 cases as treatment group were undergoing percutaneous coronary intervention, and the other 44 cases as control group had interventional indications, but they had not interventional treatment for some reasons. The two groups had routine drug treatment. Results: The symptoms improved and LVEF value change in the treatment group were significantly better than those in the control group (P < 0.05). The rate of cardiovascular events such as acute left heart failure, acute myocardial infarction and sudden cardiac death in the treatment group were significantly lower than those in the control group (P < 0.05). Conclusions:Early intervention can significantly improve symptoms and survival rate for the patients with ICM, and the earlier the better.