中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
17期
43-44,47
,共3页
PCI%药物治疗%不稳定性心绞痛
PCI%藥物治療%不穩定性心絞痛
PCI%약물치료%불은정성심교통
PCI%Medication%Senile unstable angina pectoris
目的：探究经择期PCI和单纯优化药物治疗老年不稳定性心绞痛的临床效果。方法整群选取自2012年1月-2014年3月该院收治的老年不稳定性心绞痛患者134例为该次研究对象，将其随机分成实验组与对照组，分别予以择期PCI、单纯优化药物治疗，观察两组左心室功能改善情况及并发症发生情况。结果实验组出院90 d时LVEF (63.23±8.72)%vs(51.23±9.43)%、心输血量(6.97±2.82)vs (5.72±1.72)mL较对照组明显增加，LVEDD(50.23±10.64)mm vs (53.24±11.72)mm较对照组显著下降，再发心绞痛发生率10.44%vs 26.86%低于对照组，差异有统计学意义(P<0.05)。造影剂肾病、出血发生率11.94%vs 0；17.91%vs 4.47%高于对照组，但经过及时对症治疗，均可得到治愈。结论经择期PCI治疗老年不稳定性心绞痛临床疗效优于单纯优化药物治疗，安全指数高，能有效调节患者左心室功能，改善患者预后，临床上应引起足够重视。
目的：探究經擇期PCI和單純優化藥物治療老年不穩定性心絞痛的臨床效果。方法整群選取自2012年1月-2014年3月該院收治的老年不穩定性心絞痛患者134例為該次研究對象，將其隨機分成實驗組與對照組，分彆予以擇期PCI、單純優化藥物治療，觀察兩組左心室功能改善情況及併髮癥髮生情況。結果實驗組齣院90 d時LVEF (63.23±8.72)%vs(51.23±9.43)%、心輸血量(6.97±2.82)vs (5.72±1.72)mL較對照組明顯增加，LVEDD(50.23±10.64)mm vs (53.24±11.72)mm較對照組顯著下降，再髮心絞痛髮生率10.44%vs 26.86%低于對照組，差異有統計學意義(P<0.05)。造影劑腎病、齣血髮生率11.94%vs 0；17.91%vs 4.47%高于對照組，但經過及時對癥治療，均可得到治愈。結論經擇期PCI治療老年不穩定性心絞痛臨床療效優于單純優化藥物治療，安全指數高，能有效調節患者左心室功能，改善患者預後，臨床上應引起足夠重視。
목적：탐구경택기PCI화단순우화약물치료노년불은정성심교통적림상효과。방법정군선취자2012년1월-2014년3월해원수치적노년불은정성심교통환자134례위해차연구대상，장기수궤분성실험조여대조조，분별여이택기PCI、단순우화약물치료，관찰량조좌심실공능개선정황급병발증발생정황。결과실험조출원90 d시LVEF (63.23±8.72)%vs(51.23±9.43)%、심수혈량(6.97±2.82)vs (5.72±1.72)mL교대조조명현증가，LVEDD(50.23±10.64)mm vs (53.24±11.72)mm교대조조현저하강，재발심교통발생솔10.44%vs 26.86%저우대조조，차이유통계학의의(P<0.05)。조영제신병、출혈발생솔11.94%vs 0；17.91%vs 4.47%고우대조조，단경과급시대증치료，균가득도치유。결론경택기PCI치료노년불은정성심교통림상료효우우단순우화약물치료，안전지수고，능유효조절환자좌심실공능，개선환자예후，림상상응인기족구중시。
Objective To explore the effect of elective PCI and simple optimal drug therapy in the treatment of senile unstable angina pectoris. Methods Based on the completely randomized digital table method, 134 patients with senile unstable angina pec-toris in our hospital from January 2012 to March 2014 were selected as the study objects and divided into experimental group and control group. Elective PCI and simple optimal drug therapy were performed in the two groups respectively. The improvement of left ventricle function and occurrence of complications of the two groups were observed, respectively. Results For experimental group, when they left hospital after 90days, the LVEF was (%63.23±8.72 vs 51.23±9.43), the heart blood transfusion volume was (ml:6.97±2.82 vs 5.72±1.72) which was obviously increased compared to control group. The LVEDD (mm:50.23±10.64 vs 53.24±11.72) was obviously decreased compared to control group. Recurrence of angina morbidity (%:10.44 vs 26.86) was lower than control group, which means that there was statistical significance (P<0.05) in the difference. The incidence of contrast induced nephropathy and hemorrhage (%:11.94 vs 0;17.91 vs 4.47)was higher than the control group. Conclusion For senile unstable angina pectoris, elective PCI is better than simple optimal drug therapy. It can effectively regulate the patients' left ventricular function, improve the prognosis of the patients. Therefore, enough clinical attention should be paid.
