心脏介入术对急性冠脉综合征并发左心力衰竭近期疗效观察.docVIP

心脏介入术对急性冠脉综合征并发左心力衰竭近期疗效观察 　　摘要： 目的：探讨心脏介入术应用于急性冠脉综合征并发左心力衰竭患者的近期疗效和安全性。方法：2010年3月至2012年3月间急性冠脉综合征合并左心力衰竭患者180分组，非PCI组100例行常规给药治疗，PCI组80例在非PCI组常规治疗基础上加行经皮冠状动脉腔内血管成形手术（PTCA）和支架置入手术。结果：PCI组患者心功能分级改善比例72.5%明显高于非PCI组42%，心绞痛发作比例15%明显低于对照组52%，死亡率12.5%明显低于对照组26%，相关数据间比较具有统计学意义（P0.05）。PCI组患者平均LVEF为（0.52±0.15）%，非PCI组平均LVEF为（0.45±0.12）%，两组间数据比较具有统计学差异（P0.01）。结论：心脏介入手术治疗急性冠脉综合征并发左心力衰竭具有较好的近期疗效及安全性，可有效改善患者心功能、降低心力衰竭并发症的发生、提高生活质量。 　　关键词： 心脏介入手术，急性冠脉综合征，左心力衰竭，近期疗效 　　Abstract：Objective： To study the acute coronary syndrome should be used for the short term efficacy and safety of syndrome complicated by left heart failure in patients with cardiac interventional therapy. Methods： In 2010 March to 2012 March of acute coronary syndrome complicated with left heart failure patients in 180 group， non PCI group of 100 routine drug treatment， 80 cases in group PCI were based on routine treatment in non PCI group on percutaneous transluminal coronary angioplasty operation （PTCA） and stent implantation operation. Results： The heart function in patients in group PCI class improvement ratio of 72.5% was significantly higher than that in non PCI group was 42%， the attack of angina pectoris proportion 15% was significantly lower than the control group 52%， 12.5% mortality was lower than that of the control group was 26%， related data compared with statistical significance （P0.05）. The average LVEF of PCI patients （0.52 ± 0.15）%， the average LVEF for non PCI group （0.45 ± 0.12）%， compared to the data between the two groups with statistical difference （P0.01）. Conclusion： The treatment of syndrome complicated with left heart failure with the short-term effect and safety of the acute coronary heart interventional operation， can effectively improve heart function in patients with heart failure， decrease the complications， improve the quality of life. 　　KeyWords： heart intervention operation， acute coronary syndrome， left heart failure， curative effect 　　随着心脑血管发病率的不断提升，急性冠脉综合征在临床已经十分常见，常见症状包括急稳