冠心病心绞痛采用介入方案治疗临床体会.pdfVIP

40 心血管病防治知识 2015 年 第 1 期 *恰1-/冠d禹* 冠心病心绞痛采用介入方案治疗临床体会 文绍昆 (云南省西双版纳农垦医院，云南西双版纳 666100) [摘要] 目的 总结采用心脏支架介入方案治疗冠心病心绞痛的具体方法及其临床效果，为临床工作者提 供建议。方法 回顾分析我院2∞8 年 10 月至 2013 年 10 月收治的 80 例冠心病心绞痛患者的临床资料。患者均 进行常规检查、冠状动脉造影和 Allen 试验。 Allen 试验呈阳性或造影显示冠状动脉病变复杂的患者采取经股动脉 心血管支架介入治疗冠心病，分为股动脉纽。其余患者均采用经挽动脉心血管支架介入治疗冠心病，分为挽动脉 纽。结果 两组患者的手术治疗均成功，股动脉组和挽动脉纽的一次穿刺成功率为 97.77fJ毛和 9 1. 11% ，组间无显著 性差异(P0.05) 。穿刺时间和手术操作时间在两纽间均无显著性差异(P0.05) 。挽动脉纽患者住院时间和术后并 发症均少于股动脉纽患者，纽间具有显著性差异(P0.05) 。结论 经股动脉与挽动脉心脏支架术均能有效治疗冠 心病，而且安全可靠，应为患者选择合适的手术方式，规避风险。 [关键词] 冠心病;心脏支架;股动脉;挠动脉;介入治疗 Clinical efticacy of intervention in treatment of coronary heart disease and angina pectoris WEN Shao-kun (Emergency Depαrtment， Xishuangbanna Agricultura1 Reclαmation Hospit a1, Xishuangbanna 666100, China) [Abstract 1 Objective To summarize the methods and clinical efficacy of cardiovascular intervention in the treatment of coronaηheart disease and angina pecto白， and to provide suggestions for clinicians. Methods The clinical data of eighty patients with coronary heart disease and angina pectoris who were admitted to our hospital from October 2008 to October 2013 were retrospectively analyzed. All patients received conventional examination , coronary arteriography , and Allen test. Patients who were positive for Allen test or had coronary artery lesions shown by angiography received cardiovascular intervention via the femoral arterγfor treatment of coronarγheart disease and were enrolled into femoral a时e巧T group. Other patients received cardiovascular intervention