冠心病合并慢性支气管炎患者经皮冠状动脉介入术疗效分析

Outcome of Percutaneous Coronary Intervention on Patients of Coronary Artery Disease Complicated with Chronic Bronchitis

目的对比评价冠心病合并慢性支气管炎患者行经皮冠状动脉介入术(PCI)加药物治疗与单纯药物治疗的临床效果。方法回顾性分析该院2008年5月—2011年2月诊治的36例冠心病合并慢性支气管炎患者的临床资料,其中单纯药物治疗组19例,行经皮冠状动脉介入术加药物治疗组17例,对两组患者出院后心功能改善、再住院及死亡情况进行对比分析。结果两组患者出院后疗效比较,差异无统计学意义(P>0.05)。结论对于冠心病合并慢性支气管炎患者行PCI术+药物治疗与单纯药物治疗在改善心功能、减少再住院率及死亡率上疗效相当,故对于冠心病合并慢性支气管炎的患者常规不建议行PCI术。

Objective To evaluate the clinic effects of the treatment of percutaneous coronary intervention combined with drugs contrasted with the treatment only with drugs on patients of coronary artery disease complicated with chronic bronchitis.Methods To analize retrospectively the clinic data of 36 patients of coronary artery disease complicated with chronic bronchitis from May.2008 to Feb.2011,19 patients received the treatment only with drugs,and 17 patients received the treatment of PCI combined with drugs.Results There was no significant difference on curative effects between the two groups(P>0.05).Conclusion The treatment of PCI combined with drugs got comparable curative effects of improving heart function,reducing the rate of readmission and death contrasting to the treatment only with drugs on patients of coronary artery disease complicated with chronic bronchitis.