经皮冠状动脉介入术用于冠心病慢性心力衰竭的临床价值

Clinical value of percutaneous coronary intervention in patients with coronary heart disease complicated chronic heart failure

目的探究经皮冠状动脉介入术治疗冠心病慢性心力衰竭的临床效果及价值。方法选取2016年1月至2016年12月我院收治的76例冠心病慢性心力衰竭患者为研究对象,采用随机数表法将其分为对照组和观察组,每组38例,分别采用冠脉搭桥术及经皮冠状动脉介入术进行治疗,对比分析治疗前、后两组患者的心功能指标及运动耐力。结果治疗前,两组患者的LVEF、FS、LVEDD、LVESD及6min步行距离比较,无显著差异(P>0.05);治疗后,两组患者的LVEF、FS、LVEDD、LVESD及6 min步行距离均较治疗前有所改善(P<0.05),但两组的上述指标组间比较,无显著差异(P>0.05)。结论经皮冠状动脉介入术对冠心病慢性心力衰竭的治疗效果与冠脉搭桥术相当,可明显改善患者心功能及运动耐力,治疗效果良好,具有较高的临床应用价值。

Objective To explore the clinical effect and value of percutaneous coronary intervention in patients with coronary heart disease complicated chronic heart failure. Methods The subjects of the study were selected from 76 cases of coronary chronic heart failure admitted in our hospital from January 2016 to December 2016, who were randomly divided into control group and observation group, with 38 cases in each group. The two groups were respectively treated with coronary artery bypass graft and percutaneous coronary intervention. The heart function indexes and exercise tolerance before and after treatment between the two groups were compared. Results Before treatment, there were no significant differences in the LVEF, FS, LVEDD, LVESD and 6 rain walk distance between the two groups （P〉0.05）. After treatment, the LVEF, FS, LVEDD, LVESD and 6 min walk distance in the two groups were improved （P〈0.05）, but the differences above the indexes between the two groups were not significant （P〉0.05）. Conclusion In the treatment of coronary chronic heart failure, percutaneous coronary intervention has a similar effect with coronary artery bypass graft, which can improve the heart function and exercise tolerance effectively, and it has good clinical application value.