摘要
目的:评价单支架和双支架策略治疗冠状动脉分叉病变的临床疗效。方法:采用随机数字表法分组,观察组行双支架术治疗疾病,对照行单支架术治疗疾病,观察两组患者术后的病变部位血管情况,以及患者的预后。结果:观察组术后即刻分支血管残余狭窄>30%者占4%、术后12个月分支血管血流TIMI3级者占76%、血管残余狭窄>30%者占8%、有效率96%、心血管事件发生率4%、病死率0。对照组术后即刻分支血管残余狭窄>30%者占40%、术后12个月分支血管血流TIMI3级者占60%、血管残余狭窄>30%者占48%、有效率72%、心血管事件发生率24%、病死率20%。两组数据对比,差异显著(P<0.05)。结论:采用双支架策略治疗冠状动脉分叉病变,可有效缩小狭窄,促进分支血管血流恢复,预防心血管意外,降低患者的病死率,使患者的预后得到改善,使寿命得以延长。
Objective:To evaluate the clinical efficacy of single-stent and double-stent strategies in the treatment of coronary bifurcation lesions.Methods:Grouped by random number table,the observation group was treated with double scaffolds for treatment of the disease,the control group was treated with single scaffolding for treatment of the disease,and the condition of the diseased vessels and the prognosis of the patients in the two groups were observed.Results:In the observation group,4%of patients with residual stenosis of branch blood vessels immediately after surgery>30%accounted for 76%of patients with branch blood vessel TIMI grade 3 at 12 m,8%of patients with residual stenosis of blood vessels>30%,effective rate of 96%,heart Vascular event rate was 4%and mortality was 0.In the control group,the residual stenosis of branch blood vessels immediately after surgery was>30%and 40%,and 12%of the branch vascular blood flow was TIMI grade 60%,and the residual vascular stenosis>30%was 48%,and the effective rate was 72%.Cardiovascular events The incidence rate is 24%and the mortality rate is 20%.There was a significant difference between the two groups of data(P<0.05).Conclusion:The treatment of coronary bifurcation lesions with the double-stent strategy can effectively reduce stenosis,promote the recovery of branched blood flow,prevent cardiovascular accidents,reduce the mortality of patients,improve the prognosis of patients,and prolong life.
作者
高原
张海鹰
GAO Yuan;ZHANG Hai-ying(Shenyang Red Cross Hospital,Liaoning Shenyang 110013)
出处
《中国医疗器械信息》
2020年第3期133-134,共2页
China Medical Device Information
