中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
31期
67-69
,共3页
血流储备分数%冠心病%介入治疗
血流儲備分數%冠心病%介入治療
혈류저비분수%관심병%개입치료
Fractional flow reserve%Coronary heart disease%Interventional therapy
目的：分析血流储备分数指导中老年冠心病介入治疗的临床效果。方法随机抽取2011年4月-2014年12月该院收治的98例冠心病患者的临床资料作为研究对象，将其分为FFR指导冠脉介入治疗组与常规冠脉介入治疗组各49例，对照组使用冠脉介入治疗，治疗组使用血流储备分数测定，对两组患者的临床效果、手术时间、造影剂使用量、不良情况、植入支架累计数等进行比较。结果常规冠脉介入治疗组的手术时间(69±23)h、造影剂使用量(256±114)mL、植入支架累计数(2.1±0.9)min、心绞痛12.62%，FFR指导冠脉介入治疗组手术时间(65±27)h、造影剂使用量(187±99)mL、植入支架累计数(1.6±0.8)min，心绞痛10.25%，通过两组患者的比较，FFR指导冠脉介入治疗组的造影剂使用量要比常规冠脉介入治疗组低(P<0.05)。其中两组患者的手术时间、心脏不良反应、植入支架累计数等的比较差异无统计学意义(P>0.05)。结论根据临床结果来看，血流储备分数指导中老年冠心病介入治疗，可以降低造影剂在临床中的使用量、植入支架累计量等，对植入支架的贴壁有显著的效果，在临床中值得广泛使用。
目的：分析血流儲備分數指導中老年冠心病介入治療的臨床效果。方法隨機抽取2011年4月-2014年12月該院收治的98例冠心病患者的臨床資料作為研究對象，將其分為FFR指導冠脈介入治療組與常規冠脈介入治療組各49例，對照組使用冠脈介入治療，治療組使用血流儲備分數測定，對兩組患者的臨床效果、手術時間、造影劑使用量、不良情況、植入支架纍計數等進行比較。結果常規冠脈介入治療組的手術時間(69±23)h、造影劑使用量(256±114)mL、植入支架纍計數(2.1±0.9)min、心絞痛12.62%，FFR指導冠脈介入治療組手術時間(65±27)h、造影劑使用量(187±99)mL、植入支架纍計數(1.6±0.8)min，心絞痛10.25%，通過兩組患者的比較，FFR指導冠脈介入治療組的造影劑使用量要比常規冠脈介入治療組低(P<0.05)。其中兩組患者的手術時間、心髒不良反應、植入支架纍計數等的比較差異無統計學意義(P>0.05)。結論根據臨床結果來看，血流儲備分數指導中老年冠心病介入治療，可以降低造影劑在臨床中的使用量、植入支架纍計量等，對植入支架的貼壁有顯著的效果，在臨床中值得廣汎使用。
목적：분석혈류저비분수지도중노년관심병개입치료적림상효과。방법수궤추취2011년4월-2014년12월해원수치적98례관심병환자적림상자료작위연구대상，장기분위FFR지도관맥개입치료조여상규관맥개입치료조각49례，대조조사용관맥개입치료，치료조사용혈류저비분수측정，대량조환자적림상효과、수술시간、조영제사용량、불량정황、식입지가루계수등진행비교。결과상규관맥개입치료조적수술시간(69±23)h、조영제사용량(256±114)mL、식입지가루계수(2.1±0.9)min、심교통12.62%，FFR지도관맥개입치료조수술시간(65±27)h、조영제사용량(187±99)mL、식입지가루계수(1.6±0.8)min，심교통10.25%，통과량조환자적비교，FFR지도관맥개입치료조적조영제사용량요비상규관맥개입치료조저(P<0.05)。기중량조환자적수술시간、심장불량반응、식입지가루계수등적비교차이무통계학의의(P>0.05)。결론근거림상결과래간，혈류저비분수지도중노년관심병개입치료，가이강저조영제재림상중적사용량、식입지가루계량등，대식입지가적첩벽유현저적효과，재림상중치득엄범사용。
Objective To analyze the clinical effect of interventional therapy guided by fractional flow reserve in the treatment of middle-aged and elderly patients with coronary heart disease (CHD). Methods The clinical data of 98 cases with CHD admitted in our hospital from April 2011 to December 2014 were selected as the subjects. The patients were divided into the coronary interventional therapy guided by FFR group and the conventional coronary interventional therapy group with 49 cases in each group. The control group were treated by coronary interventional therapy, and the treatment group were treated by coronary interventional therapy guided by FFR. And the clinical effect, duration of procedure, dose of contrast medium, incidence of adverse reactions, and accumulative stent placement of the two groups were compared. Results There was no statistically significant difference in the duration of procedure between the conventional coronary interventional therapy group and the coronary interventional therapy guided by FFR group [(69±23)h vs (65±27)h](P>0.05). The dose of contrast medium used in the coronary interventional therapy guided by FFR group was much less than that used in the conventional coronary interventional therapy group [(187±99) mL vs (256±114) mL](P<0.05). 12.62% of the patients in the conventional coronary interventional therapy group had angina pectoris, and 10.25%of those in the coronary interventional therapy guided by FFR group had angina pectoris, the difference in the incidence of cardiac adverse reactions between the two groups was not statistically significant(P>0.05). The accumulative stent placement was(2.1±0.9)min in the conventional coronary interventional therapy group, and (1.6±0.8)min in the coronary interventional therapy guided by FFR group, the difference between the two groups was not statistically significant (P>0.05). Conclusion According to the clinical results, interventional therapy guided by FFR for middle-aged and elderly patients with CHD can reduce the dose of contrast medium used in surgery, accumulative stent placement with significant effect on the stent pressing to the wall of vessels, therefore, it is worthy of wide clinical ap-plication.
