冠状动脉介入治疗对轻中度冠心病心衰患者的疗效分析

Analysis of the Efficacy of Coronary Intervention in Heart Failure Patients with Mild to Moderate Coronary Heart Disease

目的探究冠状动脉介入治疗对轻中度冠状动脉粥样硬化性心脏病心力衰竭(简称“冠心病心衰”)患者的效果。方法便利选取2021年10月—2023年1月吉林省人民医院综合内科特诊科收治的118例轻中度冠心病心衰患者为研究对象,以随机抽签法分为两组,各59例。对照组采用常规保守治疗,观察组采用该冠状动脉介入治疗,对比两组心功能指标、情绪状态、脑钠肽(Brain Natriuretic Peptic,BNP)、6 min步行试验距离。结果治疗后,观察组左心室射血分数大于对照组,左心室舒张末期内径、左心室收缩末期内径小于对照组,差异有统计学意义(P均<0.05)。观察组治疗总有效率为96.61%,高于对照组的86.44%,差异有统计学意义(χ^(2)=3.933,P=0.047)。治疗后,观察组BNP低于对照组,6 min步行试验距离大于对照组,差异有统计学意义(P均<0.05)。结论冠状动脉介入治疗能够有效提高轻中度冠心病患者的治疗效果和生活质量,改善预后。

Objective To investigate the effect of coronary interventional therapy on heart failure patients with mild to moderate coronary heart disease.Methods 118 patients with mild to moderate coronary artery heart disease combined with heart failure admitted to the Comprehensive Internal Medicine Special Clinic of Jilin Provincial People's Hospital from October 2021 to January 2023 were conveniently selected as the study objects and were divided into two groups according to random drawing method,with 59 cases in each group.The control group used conventional conservative treatment,and the observation group used coronary interventional therapy.The cardiac function indexes,emotional state,brain natriuretic peptic(BNP),and 6 min walking test distance in the two groups were compared.Results After treatment,the left ventricular ejection fraction in the observation group was higher than that in the control group,left ventricular end-diastolic internal meridian,and left ventricular end-systolic internal diameter were smaller than those in the control group,the differences were statistically significant(all P<0.05).The total effective rate in the observation group was 96.61%,higher than 86.44%in the control group,the difference was statistically significant(χ^(2)=3.933,P=0.047).After treatment,BNP in the observation group was lower than that in the control group,and the 6 min walking test distance was longer than that of the control group,the differences were statistically significant(both P<0.05).Conclusion Coronary intervention can effectively improve the treatment effect,quality of life and prognosis of patients with mild to moderate coronary heart disease.