冠脉CT对冠心病治疗策略的影响分析

Analysis of the effect of CT on the treatment of coronary heart disease

目的研究分析冠脉CT(CCTA)对冠心病治疗策略的影响分析,丰富临床治疗经验。方法选择2013年5月至2015年5月我院实施CCTA患者检测的患者,对患者的治疗去向进行统计,包含我院是否实施了CAG、PCI(经皮冠状动脉介入治疗)、正常CAG以及药物治疗,并且和同期实施的直接CAG实施对比。结果从2013年5月至2015年5月实施CCTA检测1185例,直接实施CAG523例。CAG组的危险原因显著高于CCTA组,差异显著(P<0.01)。CCTA之后CAG和直接CAG对比,CCTA提高再血管化治疗机率,差异显著(P<0.01)。结论通过CCTA选择,再血管化治疗机率显著提升,然而正常CCTA变少。但是现今做的CCTA大多数表现为正常或者中轻度病变,需要进行CAG的很少,乱用现象则较为显著。

Objective： to study the effect of CT（ CCTA） on the treatment of coronary heart disease（ CHD）. Methods：From May 2013 to May 2015 in our hospital patients with CCTA implementation of patients,the treatment of patients,including whether we implemented CAG,PCI（ percutaneous coronary intervention）,normal CAG and drug treatment,and the implementation of the same period of direct CAG implementation. Results： From May 2013 to May 2015,1000 cases of CCTA were detected,and CAG500 cases were implemented directly. The risk factors of CAG group were significantly higher than that of CCTA group,the difference was significant（ P〈0. 01）. After CAG,and CAG were compared with CCTA,and was significantly increased by the treatment of CCTA,the difference was significant（ P〈0. 01）. Conclusion： CCTA selection,and then the rate of revascularization treatment significantly improved,but the normal CCTA. However,the majority of CCTA performed in normal or mild lesions,the need for CAG is very small,the phenomenon is more obvious.