CAJ | 학술논문

冠心病患者左束支阻滞的预后研究
관심병환자좌속지조체적예후연구
Study Prognostic of Left Bundle Branch Block and Coronary Artery Lesion

万方数据

中国医药指南中國醫藥指南 중국의약지남
Guide of China Medicine
2015年 28期 22-23,24 ,共3页

余华%黄佐贵%李潇华%杜国伟%李厚荣%殷波%金海燕%李倩%向娟%郭敏%冉亮%潘楠

여화%황좌귀%리소화%두국위%리후영%은파%금해연%리천%향연%곽민%염량%반남

冠心病%左束支阻滞%预后冠心病%左束支阻滯%預後
관심병%좌속지조체%예후
Coronary artery lesion%Left bundle branch block%Prognostic

目的：探讨冠心病患者左束支阻滞的预后分析。方法应用常规12导联心电图（ECG）和12导联24 h长程心电图、冠状动脉造影检查60例冠心病完全性左束支阻滞患者组（观察组）和60例冠心病患者非完全性左束支阻滞（对照组）的预后进行分析。结果冠状动脉病变：60例观察组冠状动脉1支病变为15例（25.00%），2支病变为25例（41.66%），3支病变为20例（33.33%）；60例对照组组冠状动脉1支病变为38例（63.33%），2支病变为15例（25.00%），3支病变为7例（11.66%），两组比较，P＜0.05。2年内病死率：60例观察组为8例（13.33%%），60例对照组组为3例（5.00%），P＜0.01。结论冠心病患者左束支阻滞的预后较差，应引起足够的重视。
목적：탐토관심병환자좌속지조체적예후분석。방법응용상규12도련심전도（ECG）화12도련24 h장정심전도、관상동맥조영검사60례관심병완전성좌속지조체환자조（관찰조）화60례관심병환자비완전성좌속지조체（대조조）적예후진행분석。결과관상동맥병변：60례관찰조관상동맥1지병변위15례（25.00%），2지병변위25례（41.66%），3지병변위20례（33.33%）；60례대조조조관상동맥1지병변위38례（63.33%），2지병변위15례（25.00%），3지병변위7례（11.66%），량조비교，P＜0.05。2년내병사솔：60례관찰조위8례（13.33%%），60례대조조조위3례（5.00%），P＜0.01。결론관심병환자좌속지조체적예후교차，응인기족구적중시。
Objective To analysis prognostic result of left bundle branch block and coronary artery lesion.Methods Using of common 12 lead electrocardiogram(ECG) and 24 hour's dynamic electrocardiogram recording to and coronary angiography with Comparson analysis of in prognostic the 60 patients were coronary artery lesion with complete left bundle branch block group and the 60 patients were coronary artery lesion no-left bundle branch block group,and relation of coronary artery lesion.Results Coronary artery lesion: the 60 patients were coronary artery lesion with complete left bundle branch block group one branch lesion was 15 patients(25.00%),two branch lesion was 25 patients (41.66%), three branch lesion was 20 patients (33.33%);the 60 patients were coronary artery lesion no-left bundle branch block group one branch lesion was 38 patients(63.33%), two branch lesion was 15 patients(25.00%), three branch lesion was 7 patients (11.66%), two groups Comparson,P<0.05 mortality in two years: the 60 patients were coronary artery lesion wiyh complete left bundle branch block group was 8 patients(13.33%), the 60 patients were coronary artery lesion no-left bundle branch block group was 3 patients(5.00%),P<0.01.Conclusion The left bundle branch block in connection with coronary artery lesion, prognostic is bad.