摘要
目的评估冠心病患者介入治疗中应用国产BuMA支架的价值。方法选择枣庄矿业集团中心医院2018年3月~2019年3月期间接诊的120例冠心病患者,均接受介入治疗,根据随机数字表法分为观察组与对照组,每组各60例,分别给予国产BuMA支架治疗和美国Resolute支架治疗,随访2年,比较两组冠心病介入治疗患者的治疗效果。结果两组冠心病患者CAG及PCI相关指标(ISR、慢性闭塞型病变、中重度钙化病变、中重度扭曲病变、血栓病变、参考血管直径、最小管腔直径、直径狭窄、病变长度、支架总长度)相比,差异无统计学意义(均P>0.05)。两组冠心病患者术前用药(普通肝素、低分子肝素、替罗非班)相比,差异无统计学意义(均P>0.05)。两组冠心病患者术后特征(残余狭窄、TIMI2~3分、手术成功)相比,差异无统计学意义(P>0.05)。两组冠心病患者随访终点事件(ST、MACEs、全因死亡、心源性死亡、MI、TLR、TVR、非靶血管血运重建、脑卒中)发生情况相比,差异无统计学意义(P>0.05)。结论冠心病患者介入治疗中应用国产BuMA支架治疗的效果显著,与美国Resolute支架治疗无明显差异,远期疗效理想,值得在临床中进行推广使用。
Objective To evaluate the value of domestic BuMA stent in interventional therapy for patients with coronary heart disease(CHD).Methods A total of 120 CHD patients admitted to the Central Hospital of Zaozhuang Mining Group from March 2018 to March 2019 were selected and received interventional therapy.According to the random number table method,they were divided into the observation group and the control group,with 60 cases in each group.Patients in the observation group and the control group received the domestic BuMA stent and the American Resolute stent respectively,and were followed up for 2 years.The therapeutic effects on CHD patients were compared between the two groups.Results There were no significant differences in CAG and PCI-related indexes(ISR,chronic occlusive disease,moderate to severe calcified lesions,moderate to severe distorted lesions,thrombotic disease,reference vessel diameter,minimum lumen diameter,diameter stenosis,lesion length and total stent length)of CHD patients between the two groups(P>0.05).There were no significant differences in preoperative medications(unfractionated heparin,low-molecular-weight heparin and tirofiban)of CHD patients between the two groups(P>0.05).There were no significant differences in postoperative characteristics(residual stenosis,TIMI 2 and 3,and successful operation)of CHD patients between the two groups(P>0.05).There were no significant differences in the incidences of the events as the follow-up endpoints(ST,MACEs,all-cause death,cardiac death,MI,TLR,TVR,non-target vessel revascularization,and stroke)of CHD patients between the two groups(P>0.05).Conclusion The effect of domestic BuMA stent in interventional therapy of CHD patients is remarkable with no significant difference from the effect of American Resolute stent.Having an ideal long-term efficacy,it is worthy of promotion in clinical practice.
作者
宋志
燕相周
SONG Zhi;YAN Xiangzhou(Department of Cardiology,Central Hospital of Zaozhuang Mining Group,Zaozhuang 277000,China)
出处
《中国现代医生》
2022年第18期133-136,共4页
China Modern Doctor
关键词
冠心病
介入治疗
支架治疗
冠状动脉造影术
Coronary heart disease
Interventional therapy
Stent therapy
Coronary angiography
