摘要
目的探讨主动脉夹层和夹层动脉瘤患者采用血管腔内治疗的技术方法及疗效。方法随机选取2022年3月—2023年2月福建省立医院收治的90例主动脉夹层和夹层动脉瘤患者为研究对象,以随机数表法分成对照组(n=45)和研究组(n=45),对照组给予传统药物治疗,研究组给予血管腔内治疗,比较两组临床效果、生理状况[急性生理与慢性健康系统(Acute Physiology and Chronic Health Evaluation,APACHEⅡ)评分]、生活质量[生活质量综合评定问卷(Generic Quality of Life Inventory-74,GQOL-74)]及并发症。结果研究组治疗总有效率为97.78%高于对照组的82.22%,差异有统计学意义(χ^(2)=4.444,P<0.05)。治疗后,两组APACHEⅡ评均降低,且研究组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组GQOL-74评分均升高,且研究组高于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率较对照组更低,差异有统计学意义(P<0.05)。结论血管腔内治疗主动脉夹层和夹层动脉瘤患者,能够提高临床疗效,加速病情恢复,提高生活质量,减少并发症发生。
Objective To explore the technical methods and efficacy of endovascular treatment in patients with aortic dissection and dissecting aneurysm.Methods 90 patients with aortic dissection and dissecting aneurysm admitted to Fujian Provincial Hospital from March 2022 to February 2023 were randomly selected as the study subjects.They were randomly divided into a control group(n=45)and a study group(n=45)using a random number table method.The control group received traditional drug treatment,while the study group received intravascular therapy.The clinical effects,physiological condition[Acute Physiology and Chronic Health Evaluation(APACHE II)score],quality of life[General Quality of Life Inventory-74(GQOL-74)],and complications of two groups were compared.Results The total effective rate of the study group(97.78%)was higher than that of the control group,which was 82.22%,the difference was statistically significant(χ^(2)=4.444,P<0.05).After treatment,the APACHE II scores of both groups decreased,and the study group was lower than the control group,the difference was statistically significant(P<0.05).After treatment,the GQOL-74 scores of both groups increased,and the study group was higher than the control group,the difference was statistically significant(P<0.05).The incidence of complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Endovascular treatment of patients with aortic dissection and dissecting aneurysm can improve clinical efficacy,accelerate recovery,improve quality of life,and reduce complications.
作者
蔡文龙
肖荣冬
王欢
CAI Wenlong;XIAO Rongdong;WANG Huan(Department of Cardiovascular Surgery,Fujian Provincial Hospital,Fuzhou,Fujian Province,350001 China)
出处
《中外医疗》
2023年第24期64-67,共4页
China & Foreign Medical Treatment
关键词
血管腔内治疗
主动脉夹层
夹层动脉瘤
技术方法
疗效
Endovascular treatment
Aortic dissection
Dissecting aneurysm
Technical methods
Efficacy
