综合干预疗法冠状动脉成形术加支架患者的远期疗效

Long-term clinical observation of comprehensive interventional therapy for percutaneous transluminal co ronary angioplasty and coro-nary stent

目的观察和追踪综合干预对冠心病行冠状动脉成形术(PTCA)加冠状动脉支架术后的长期临床疗效。方法选择64例冠心病PTCA支架后患者,按随机原则进入综合干预组和常规治疗组(各32例),两组患者均有常规用药且两组用药情况无差异,综合干预组除常规治疗外,配合主要包括健康教育、心理咨询、早期康复活动等综合干预进行为期1年的临床追踪和观察。结果综合干预组患者比较充分掌握术后防治知识,手术中没有出现紧张、恐惧心理;对所患疾病的恢复与稳定、冠心病危险因素的控制,减少心肌缺血次数、缺血总负荷、减少死亡、提高生存质量方面明显优于常规组。结论综合干预有促进冠心病PTCA支架后的康复作用。

Objective To observe and pursue the long-terme ffects of comprehensive interventi onal therapy for coronary artery dis ease patients underwent percutaneous translumin al coronary angioplasty(PTCA)and coronary stent.Methods 64patients diagnoised coronary dis ease with PTCAstent were randomly divided int o comprehensive interventional therapy and conventional care group.32patients receiving both comprehensive interventional therapy and the conventional drug therapy as comprehensive therapy group and the remaining 32receiving the conventional drug therapy alone as control group.One y ear later,the curative effects were appraised.Results There was a significant difference b etween compre-hensive interventional therapy gro up and conventional care group in decreasing the number of myocardial isc hemia,ischemia ominloading,morta l-ity,and in controlling dangerous of coronary disease,et al.Conclusion The comprehensive interventional t herapy could accelerate the stabili ty and recovery of the patients with PTCA stent.