医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2014年
23期
4297-4299
,共3页
张婧娴(综述)%刘同库(审校)
張婧嫻(綜述)%劉同庫(審校)
장청한(종술)%류동고(심교)
冠状动脉粥样硬化性心脏病%支架内再狭窄%影响因素
冠狀動脈粥樣硬化性心髒病%支架內再狹窄%影響因素
관상동맥죽양경화성심장병%지가내재협착%영향인소
Coronary atherosclerotic heart disease%In-stent restenosis%Influence factors
冠状动脉粥样硬化性心脏病(冠心病)的发病率呈逐年上升的趋势,而其治疗方法已经不再局限于单纯的药物治疗。冠状动脉介入治疗已迅速发展起来,特别是冠状动脉支架植入术的广泛应用,为冠心病的治疗带来了新的希望。但术后支架内再狭窄的问题却逐步凸显出来,成为目前亟待解决的问题。导致冠状动脉支架内再狭窄的影响因素众多,引起学者们关注的因素主要有吸烟、高血压、糖尿病、血脂、支架、病变部位及类型等。因此,为了降低冠状动脉支架内再狭窄的发生率,需要通过众多因素的共同预防,才能使支架术后患者获得令人满意的远期疗效。
冠狀動脈粥樣硬化性心髒病(冠心病)的髮病率呈逐年上升的趨勢,而其治療方法已經不再跼限于單純的藥物治療。冠狀動脈介入治療已迅速髮展起來,特彆是冠狀動脈支架植入術的廣汎應用,為冠心病的治療帶來瞭新的希望。但術後支架內再狹窄的問題卻逐步凸顯齣來,成為目前亟待解決的問題。導緻冠狀動脈支架內再狹窄的影響因素衆多,引起學者們關註的因素主要有吸煙、高血壓、糖尿病、血脂、支架、病變部位及類型等。因此,為瞭降低冠狀動脈支架內再狹窄的髮生率,需要通過衆多因素的共同預防,纔能使支架術後患者穫得令人滿意的遠期療效。
관상동맥죽양경화성심장병(관심병)적발병솔정축년상승적추세,이기치료방법이경불재국한우단순적약물치료。관상동맥개입치료이신속발전기래,특별시관상동맥지가식입술적엄범응용,위관심병적치료대래료신적희망。단술후지가내재협착적문제각축보철현출래,성위목전극대해결적문제。도치관상동맥지가내재협착적영향인소음다,인기학자문관주적인소주요유흡연、고혈압、당뇨병、혈지、지가、병변부위급류형등。인차,위료강저관상동맥지가내재협착적발생솔,수요통과음다인소적공동예방,재능사지가술후환자획득령인만의적원기료효。
There is an upward trend in the incidence of coronary heart disease,and the treatment is no longer confined to simple drug treatment .Coronary artery interventional therapy has been developed rapidly , especially the wide application of coronary artery stent implantation ,which has brought new hope for the treat-ment of coronary heart disease.However,the problem of stent restenosis after procedure is gradually highlight-ed and has become a problem to be solved at present.Among many affected factors leading to restenosis in stent,the major factors include smoking,high blood pressure,diabetes,lipid,stents,region and type of lesions and so on.Therefore,in order to reduce the incidence of coronary stent restenosis,many factors of prevention are necessary, which can make the patients get satisfactory long-term curative effect.