中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
31期
29-31
,共3页
陈海坚%林薇%莫逆%梁金春%乌汉东
陳海堅%林薇%莫逆%樑金春%烏漢東
진해견%림미%막역%량금춘%오한동
冠状动脉疾病%冠状动脉闭塞%血管成形术,气囊,冠状动脉%心室功能%介入治疗
冠狀動脈疾病%冠狀動脈閉塞%血管成形術,氣囊,冠狀動脈%心室功能%介入治療
관상동맥질병%관상동맥폐새%혈관성형술,기낭,관상동맥%심실공능%개입치료
Coronary disease%Coronary occlusion%Angioplasty,balloon,coronary%Ventricular function
目的 观察心功能不全合并冠状动脉慢性完全闭塞(CTO)患者行经皮冠状动脉介入治疗(PCI)开通后对心功能的影响.方法 选择272例心功能不全合并CTO患者,按PCI结果分为PCI开通成功组(246例)与PCI开通失败组(26例).术后6个月复查心脏超声,对比分析两组患者心功能的差别.结果 开通成功组与开通失败组分别有229例及24例患者于术后6个月复查心脏超声.开通失败组术后6个月左室射血分数(LVEF)和左室舒张末期容积指数(LVEDVI)与术前比较差异无统计学意义(P>0.05),开通成功组术后6个月LVEF和LVEDVI均较术前及开通失败组术后6个月明显改善[(51±5)%比(43±6)%和(45±2)%、(77±13)ml/m2比(86±12)ml/m2和(86±10)ml/m2,P<0.05].开通失败组术后6个月心功能分级与术前比较差异无统计学意义(P>0.05);开通成功组术后6个月心功能分级较术前和开通失败组术后6个月有明显改善(P<0.05).结论 心功能不全合并CTO患者行PCI开通后心功能明显改善.
目的 觀察心功能不全閤併冠狀動脈慢性完全閉塞(CTO)患者行經皮冠狀動脈介入治療(PCI)開通後對心功能的影響.方法 選擇272例心功能不全閤併CTO患者,按PCI結果分為PCI開通成功組(246例)與PCI開通失敗組(26例).術後6箇月複查心髒超聲,對比分析兩組患者心功能的差彆.結果 開通成功組與開通失敗組分彆有229例及24例患者于術後6箇月複查心髒超聲.開通失敗組術後6箇月左室射血分數(LVEF)和左室舒張末期容積指數(LVEDVI)與術前比較差異無統計學意義(P>0.05),開通成功組術後6箇月LVEF和LVEDVI均較術前及開通失敗組術後6箇月明顯改善[(51±5)%比(43±6)%和(45±2)%、(77±13)ml/m2比(86±12)ml/m2和(86±10)ml/m2,P<0.05].開通失敗組術後6箇月心功能分級與術前比較差異無統計學意義(P>0.05);開通成功組術後6箇月心功能分級較術前和開通失敗組術後6箇月有明顯改善(P<0.05).結論 心功能不全閤併CTO患者行PCI開通後心功能明顯改善.
목적 관찰심공능불전합병관상동맥만성완전폐새(CTO)환자행경피관상동맥개입치료(PCI)개통후대심공능적영향.방법 선택272례심공능불전합병CTO환자,안PCI결과분위PCI개통성공조(246례)여PCI개통실패조(26례).술후6개월복사심장초성,대비분석량조환자심공능적차별.결과 개통성공조여개통실패조분별유229례급24례환자우술후6개월복사심장초성.개통실패조술후6개월좌실사혈분수(LVEF)화좌실서장말기용적지수(LVEDVI)여술전비교차이무통계학의의(P>0.05),개통성공조술후6개월LVEF화LVEDVI균교술전급개통실패조술후6개월명현개선[(51±5)%비(43±6)%화(45±2)%、(77±13)ml/m2비(86±12)ml/m2화(86±10)ml/m2,P<0.05].개통실패조술후6개월심공능분급여술전비교차이무통계학의의(P>0.05);개통성공조술후6개월심공능분급교술전화개통실패조술후6개월유명현개선(P<0.05).결론 심공능불전합병CTO환자행PCI개통후심공능명현개선.
Objective To evaluate the influence of successful revascularization by percutaneous coronary intervention(PCI)on heart function of patients with heart dysfunction combined with chronic total occlusion(CTO).Methods The clinical data of 272 patients with heart dysfunction combined with CTO were analyzed.The patients were divided into PCI success group(246 cases)and PCI failure group(26 cases)respectively according to the results of PCI.Six months after PCI,the patients underwent cardiac ultrasound examination to compare the heart function between the two groups.Results Cardiac ultrasound examination was successfully performed in 229 patients in PCI success group and 24 patients in PCI failure group at 6 months after PCI.The left ventricular ejection fraction(LVEF)and left ventricular end-diastolic volume index(LVEDVI)showed no significant difference in PCI failure group at 6 months after PCI compared with that before PCI(P>0.05).In PCI success group,LVEF and LVEDVI were significantly increased at 6 months after PCI compared with that before PCI and compared with that in PCI failure group at 6 months after PCI[(51±5)% vs.(43±6)% and(45±2)%,(77±13)ml/m2 vs.(86±12)ml/m2 and(86±10)ml/m2,P<0.05].The cardiac functional grading in PCI failure group had no significant difference compared with that before PCI(P>0.05),but in PCI success group it had significant difference compared with that before PCI and compared with that in PCI failure group at 6 months after PCI(P<0.05).Conclusion Successful revascularization by PCI can improve heart function in patients with heart dysfunction combined with CTO.