介入治疗对冠心病合并左心功能不全患者心功能影响.docVIP

介入治疗对冠心病合并左心功能不全患者心功能的影响 　　[摘要]目的 探讨介入治疗对冠心病合并左心功能不全患者心功能的影响。方法 选取2012年1月～2015年6月本院收治的69例冠心病合并左心功能不全患者作为研究对象，根据治疗方法的不同分为常规组（32例）和介入组（37例）。常规组采用常规药物治疗，介入组采用介入治疗。比较两组治疗前与治疗后6个月的左心功能指标、心功能分级及治疗期间的并发症情况。结果 两组治疗后的LVDs和LVDd指标显著低于治疗前，FS和LVEF指标显著高于治疗前，差异有统计学意义（P0.05）。结论 介入治疗可显著改善冠心病合并左心功能不全患者的心功能，且并发症少，值得临床推广应用。 　　[关键词]冠心病；左心功能不全；介入治疗；心功能 　　[中图分类号] R541.4 [文献标识码] A [文章编号] 1674-4721（2016）06（a）-0044-03 　　[Abstract]Objective To explore the influence of interventional therapy on heart function of coronary heart disease patients with left cardiac function insufficiency.Methods 69 coronary heart disease patients with left cardiac function insufficiency from January 2012 to June 2015 in our hospital were selected and divided into the routine group （32 cases） and the interventional group （37 cases） according to different treatment method.The routine group was treated with routine drug，the interventional group was treated with interventional therapy.The left heart function index，heart function classification before treatment and after treatment for 6 months，complication during treatment was compared in the two groups.Results The index of LVDs and LVDd after treatment in the two groups was lower than that before treatment，the index of FS and LVEF after treatment in the two groups was higher than that before treatment，with significant difference （P0.05）.Conclusion Interventional therapy can obvious improve the heart function of coronary heart disease patients with left cardiac function insufficiency，and with less complication，it is worthy of clinical promotion and application. 　　[Key words]Coronary heart disease；Left cardiac function insufficiency；Interventional therapy；Heart function 　　冠心病是目前临床上常见的心血管疾病，病理基础为动脉粥样硬化[1-2]。由于冠状动脉的病变和血液供应不足等导致患者心肌功能障碍或出现器质性病变，故临床上也称为缺血性心脏病[3]。冠心病患者的脂质代谢多存在异常，血液中的脂质在光滑的动脉内膜上不断沉着、堆积，导致动脉管腔狭窄，血流量减少，进而引起心脏的缺氧或梗死，使患者并发左心功能不全[4]。临床上，冠心病合并左心功能不全的治疗包括药物治疗、介入治疗、冠状动脉旁路移植术和杂交术治疗等方法，其中介入治疗在临床中的应用越来越广。本研究选取本院的冠心病合并左心功能不全患者作为研究对象，旨在探讨冠心病合并左心功能不全患者应用介入治疗对心功能的影响