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目的探讨经皮冠状动脉介入治疗冠心病患者合并慢性左心衰竭的效果。方法 70例合并慢性左心衰竭的冠心病患者按照介入术的不同分为A组(n=40)和B组(n=30),A组患者接受经桡动脉介入治疗,B组患者行经股动脉介入治疗;所有患者治疗前、术后7 d、术后3个月均测定心功能。结果介入治疗术后7 d,两组患者的LVEF均明显优于术前(P<0.05),但两组无统计学差异(P>0.05);介入术后3个月,两组的LVEF、LVEDD、LVESD均优于治疗前且优于术后7 d(P<0.05),两组间无显著性差异(P>0.05);A组与穿刺相关的并发症1例(1/40,2.5%),B组与穿刺相关的并发症1例(1/30,3.3%),两组并发症发生率无差异(P>0.05)。结论经皮冠状动脉介入治疗术能够明显改善冠心病合并慢性左心衰竭患者的心功能。
Objective To investigate the effect of percutaneous coronary intervention in patients with coronary heart disease complicated with chronic left heart failure. Methods A total of 70 CHD patients with chronic left heart failure were divided into group A (n = 40) and group B (n = 30) according to the type of intervention. Patients in group A received transradial intervention and group B Arterial interventional therapy; All patients before treatment, 7 days after surgery, 3 months after the determination of cardiac function. Results The LVEF of both groups was significantly better than preoperative at 7 days after PCI (P <0.05), but there was no significant difference between the two groups (P> 0.05). At 3 months after PCI, LVEF, LVEDD and LVESD were superior to pre-treatment and better than postoperative 7d (P <0.05), there was no significant difference between the two groups (P> 0.05); A group of puncture-related complications in 1 case (1 / 40,2.5 %). There were 1 case (1 / 30,3.3%) of complications related to puncture in group B, there was no difference in the complication rates between the two groups (P> 0.05). Conclusion Percutaneous coronary intervention can significantly improve cardiac function in patients with coronary heart disease and chronic left heart failure.