ffr对冠状动脉造影临界病变pci诊疗的指导分析word格式论文.docxVIP

者更好。关键词：心肌分数流量储备；冠状动脉造影；临界病变；冠状动脉介入 治疗AbstractObjective: This research aims to make myocardial fractional flow reserve of coronary angiography through the determination of critical diseases, which is according to the guidance of coronary artery interventional therapy, to explore the significance of myocardial fractional flow reserve on the critical lesion in the treatment of PCI.Methods: In 2013 January to 2013 December in our hospital 89 patients meet the diagnostic criteria of coronary heart disease, coronary angiography results for the implementation of single vessel lesion and the limitation of lesion vascular stenosis (DS) ranged from 50% to 70%, the patients were randomly divided into PCI group and PCIgroup delay at. Then the measured value of FFR ≥ 0.75, if not, were randomly dividedinto two groups, only drug therapy; if FFR0.75, then according to the above random grouping method, delayed PCI group only received drug therapy, defer PCI operation, and immediate PCI group, is that moment of vascular lesions in PCI treatment. Finally, thepatients were divided into three groups: group A: FFR score ≥ 0.75 patients,conservative treatment drugs; group B: FFR0.75 patients received immediate treatment, PCI; group C: FFR0.75 patients, delayed PCI operation, the conservative treatment of drug. All enrolled patients received 300 mg/d aspirin at least three days before PCI, then continue used 300 mg/d for one month after PCI and the life-long dosage was 100 mg/d. Clopidogrel Were used 75 mg/d before three days before and post PCI at least 12months．Be heparinized coronary angiography and intraoperative PCI, the application oflow molecular weight heparin anticoagulation after subcutaneous injection, continuous application of at least l0 days. The clinical data of the patients with documented basis, clinical features were compared between three groups of gender, age, diabetes, hypertension, hyperlipidemia, family history of coronary heart disease, ca