摘要
目的:回顾性分析研究经皮冠状动脉介入治疗(PCI)对急性冠脉综合征(ACS)伴左心衰竭患者的近期疗效。方法:2010年2月-2012年8月收治ACS伴有左心衰竭患者120例,随机分为试验组和对照组,每组60例。试验组实施PCI术,对照组采取保守治疗,对比分析两组近期治疗效果。结果:试验组心绞痛发作次数、心功能改善以及LVEF等方面显著优于对照组,差异有统计学意义(P<0.05),但在复合终点和死亡率方面,差异不具有统计学意义(P>0.05)。结论:ACS伴有左心衰竭采用PCI术治疗,在近期获得明显的治疗效果,并发症发生率明显降低,具有临床推广价值。
Objective:To retrospectively analyze and study the recent curative effect of percutaneous coronary intervention(PCI) in the treatment of acute coronary syndrome(ACS) combined with left heart failure.Methods:120 cases with left heart failure were selected from February 2010 to August 2012.They were randomly divided into the experimental group and the control group with60 cases in each.The experimental group were treated with PCI operation.The control group were treated with conservative treatment.The recent treatment effects of the two groups were comparatively analyzed.Results:The angina attack frequency,cardiac function improvement and LVEF of the experimental group were significantly better than those of the control group,and the difference was statistically significant(P<0.05).But the differences between the composite end point and mortality rate were not statistically significant(P>0.05).Conclusion:The treatment of PCI for ACS combined with left heart failure obtains obvious therapeutic effect in recent.The incidence rate of complication is significantly reduced.It has the clinical value.
关键词
急性冠脉综合征
左心衰竭
经皮冠状动脉介入治疗
Acute coronary syndrome
Left heart failure
Percutaneous coronary intervention
