摘要
目的 观察冠状动脉粥样硬化性心脏病(以下简称冠心病)合并左心衰竭采用介入治疗的临床治疗效果。方法 随机选取2022年5月—2023年6月在济南市第一人民医院进行冠心病合并左心衰竭治疗的患者63例作为研究对象,电脑随机分配方式进行分组,对照组(31例)进行常规药物治疗,观察组(32例)开展介入手术治疗,对比两组患者的心功能、生活质量评分、并发症发生率、6 min步行距离和脑钠肽水平。结果 观察组左心室舒张末期内径(left ventricular end-diastolic diameter,LVEDD)为(6.06±0.50)cm,对照组为(5.57±0.57)cm,观察组心功能优于对照组,差异有统计学意义(t=3.630,P<0.001);观察组生活质量评分和6 min步行距离均优于对照组,差异有统计学意义(P<0.05);观察组脑钠肽和并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论 冠心病合并左心衰竭予以介入治疗,能够改善患者的心功能,提升患者的生活质量、6 min步行距离,降低并发症发生率、脑钠肽水平。
Objective To observe the clinical effect of interventional therapy for coronary atherosclerotic heart disease(CHD) complicated with left heart failure.Methods 63 patients receiving treatment for coronary heart disease combined with left heart failure in Jinan First People's Hospital from May 2022 to June 2023 were randomly selected as the study objects and divided into groups by computer random allocation.The control group(31 cases) received conventional drug treatment,and the observation group(32 cases) received interventional surgery.The cardiac function,quality of life score,complication rate,6-minite walking distance and brain natriuretic peptide levels were compared between the two groups.Results Left ventricular end-diastolic diameter(LVEDD) was(6.06±0.50) cm in the observation group and(5.57±0.57) cm in the control group.The cardiac function of the observation group was superior to that of the control group,and the difference was statistically significant(t=3.630,P<0.001).The quality of life score and 6-minite walking distance of the observation group were better than those of the control group,and the differences were statistically significant(P<0.05).The incidence of brain natriuretic peptide and complications in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Interventional treatment of coronary heart disease complicated with left heart failure can improve the heart function of patients,improve the quality of life of patients,6-minite walking distance,reduce the incidence of complications,brain natriuretic peptide level.
作者
金姿
曹娜
左希宏
JIN Zi;CAO Na;ZUO Xihong(Department of Cardiology,Jinan First People's Hospital,Jinan,Shandong Province,250011 China;Department of Cardiology,Jinan Seventh People's Hospital,Jinan,Shandong Province,250101 China)
出处
《中外医疗》
2023年第32期63-66,70,共5页
China & Foreign Medical Treatment
关键词
冠心病
左心衰竭
介入治疗
疗效
Coronary heart disease
Left heart failure
Interventional therapy
Curative effect
