湖南师范大学学报（医学版）
湖南師範大學學報（醫學版）
호남사범대학학보（의학판）
Journal of Hunan Normal University (Medical Science)
2015年
5期
25-27,28
,共4页
冠心病%外周动脉粥样硬化%介入治疗%临床疗效%安全性评价
冠心病%外週動脈粥樣硬化%介入治療%臨床療效%安全性評價
관심병%외주동맥죽양경화%개입치료%림상료효%안전성평개
Coronary heart disease%Peripheral arterial atherosclerosis%Interventional therapy%Clinical efficacy%Safety Evaluation
目的：探讨介入在合并动脉粥样硬化的冠心病患者中的疗效和安全性。方法：选取自2006年7月20日至2011年7月20日来我院接受治疗的冠心病合并外周动脉粥样硬化的患者313例作为研究对象，观察介入手术的成功率、完全缓解率、手术时间以及住院花销，随访观察术后并发症状况、动脉造影情况以及满意度调查。结果：本次研究PCI、PPI手术的即刻成功率分别为99.36%和96.49%，且二者的完全缓解率分别是99.35%和97.12%，均处于较高水平。冠状动脉痉挛和出血血肿发生率较高，分别是1.28%和1.60%，并发症发生率为5.75%（18/313），且满意度为98.40%（308/313）。随访冠状动脉狭窄率和外周动脉狭窄率较高，分别是3.50%和2.80%。结论：对冠心病合并外周动脉粥样硬化患者行介入治疗成功率较高，且安全性高。
目的：探討介入在閤併動脈粥樣硬化的冠心病患者中的療效和安全性。方法：選取自2006年7月20日至2011年7月20日來我院接受治療的冠心病閤併外週動脈粥樣硬化的患者313例作為研究對象，觀察介入手術的成功率、完全緩解率、手術時間以及住院花銷，隨訪觀察術後併髮癥狀況、動脈造影情況以及滿意度調查。結果：本次研究PCI、PPI手術的即刻成功率分彆為99.36%和96.49%，且二者的完全緩解率分彆是99.35%和97.12%，均處于較高水平。冠狀動脈痙攣和齣血血腫髮生率較高，分彆是1.28%和1.60%，併髮癥髮生率為5.75%（18/313），且滿意度為98.40%（308/313）。隨訪冠狀動脈狹窄率和外週動脈狹窄率較高，分彆是3.50%和2.80%。結論：對冠心病閤併外週動脈粥樣硬化患者行介入治療成功率較高，且安全性高。
목적：탐토개입재합병동맥죽양경화적관심병환자중적료효화안전성。방법：선취자2006년7월20일지2011년7월20일래아원접수치료적관심병합병외주동맥죽양경화적환자313례작위연구대상，관찰개입수술적성공솔、완전완해솔、수술시간이급주원화소，수방관찰술후병발증상황、동맥조영정황이급만의도조사。결과：본차연구PCI、PPI수술적즉각성공솔분별위99.36%화96.49%，차이자적완전완해솔분별시99.35%화97.12%，균처우교고수평。관상동맥경련화출혈혈종발생솔교고，분별시1.28%화1.60%，병발증발생솔위5.75%（18/313），차만의도위98.40%（308/313）。수방관상동맥협착솔화외주동맥협착솔교고，분별시3.50%화2.80%。결론：대관심병합병외주동맥죽양경화환자행개입치료성공솔교고，차안전성고。
ObjectiveOur retrospective study was aimed to observe clinical curative effect of the interventional therapy in coronary artery disease with peripheral atherosclerosis theater and to discuss the safety of the treatment in groups for reasonable evaluation.MethodsClinical data of 313 patients withcoronary heart disease with peripheral atherosclerosis at our hospital from July 20, 2006 to July 20,2011 was retrospectively analyzed.al patients within one week after admission were arranged coronary interventional surgery and peripheral arterial atherosclerosis intervention therapy, observing immediate success rate of surgery, complete remission rate, operation time and hospital expenses. with three-year folow-up after surgery,postoperative complica-tions, angiography and satisfaction survey were observed.Results A total of patients were retrospective analyzed, after PCI and after PPI treatment,PCI immediate surgery success rate was 99.36% (311/313), PPI surgical success rate was 96.49% instantly (302/313), and both of complete remission rates was 99.35% and 97.12%, both with a high level. this surgical stent was aver-age (2.12±0.7) pieces / person. surgery time was (4.83±0.5). hospital stay time was (6.21±1.3) d, hospitalization expense was (257874±104682) dolars. Coronary artery spasm and hemorrhage and hematoma occurred at a higher rate,respectively 1.28% and 1.60%. the complication rate was 5.75% (18/313), and the satisfaction rate was 98.40% (308/313). Patients were followed up for a period of three years of work, a total of 286 patients were followed up, follow-up rate was 91.37% (286/313), in which the rate of coronary artery stenosis and peripheral artery stenosis rate was higher, respectively, 3.50% and 2.80%.Conclusion Interventional therapy for coronary artery disease with peripheral artery atherosclerosis is reasonable,the operation success rate is high, the complete remission rate is high, operation has little effect on patients’ quality of life, with a higher degree of satis-faction.the complication rate is low, with great possibility of success,worthy a wide range of promotional use in clinical practice.
