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疏血通预防冠状动脉内支架置入术后再狭窄的作用

[Effect of shuxuetong in preventing restenosis after intracoronary stenting].

作者信息

Li Ai-hua, Gong Kai-zheng, Yan Jun-feng, Sun Xiaoning, Feng Yiliang, Zhang Zhengang

机构信息

Department of Cardiology, The First People's Hospital of Yangzhou, Jiangsu 225001.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2004 Oct;24(10):879-81.

Abstract

OBJECTIVE

To evaluate the effect of shuxuetong (SXT) in preventing restenosis after intracoronary stenting.

METHODS

Sixty-eight patients, accepted intracoronary stenting, were divided into two groups, the SXT group and the control group, both of them were treated with conventional treatment, and to the SXT group, SXT was given additionally. The condition of treated coronary artery restenosis in the two groups was compared by way of quantitative coronary angiography and a 6-month follow-up study was adopted.

RESULTS

Follow-up study was completed in 43 patients (23 cases in the SXT group, and 20 in the control group). The angina recurrence rate in the SXT group (3 cases, 13%) was significantly lower than that in the control group (7 cases, 35%, P < 0.05). Quantitative coronary angiography showed the restenosis degree of operated artery in the SXT group was significantly milder than that in the control group, with the last lumen losing and index in the SXT group (0.46 +/- 0.25 mm, 24.26 +/- 8.64%) less than those in the control group (0.75 +/- 0.33 mm, 31.25 +/- 11.03%). The net gain lumen and the net gain index in the SXT group (1.23 +/- 0.30 mm, 58.96 +/- 24.68%) were greater than those in the control group (0.98 +/- 0.33 mm, 42.68 +/- 29.51%), all P < 0.05. But the restenosis rate in the two groups was insignificantly different (P > 0.05).

CONCLUSION

SXT might has some definite effect in preventing restenosis after intracoronary stenting.

摘要

目的

评估舒血宁(SXT)在预防冠状动脉内支架置入术后再狭窄中的作用。

方法

68例行冠状动脉内支架置入术的患者被分为两组,即舒血宁组和对照组,两组均接受常规治疗,舒血宁组在此基础上额外给予舒血宁。通过定量冠状动脉造影比较两组治疗后冠状动脉再狭窄情况,并进行6个月的随访研究。

结果

43例患者完成随访研究(舒血宁组23例,对照组20例)。舒血宁组心绞痛复发率(3例,13%)显著低于对照组(7例,35%,P<0.05)。定量冠状动脉造影显示,舒血宁组手术血管的再狭窄程度明显轻于对照组,舒血宁组最终管腔丢失和指数(0.46±0.25mm,24.26±8.64%)低于对照组(0.75±0.33mm,31.25±11.03%)。舒血宁组净增管腔和净增指数(1.23±0.30mm,58.96±24.68%)大于对照组(0.98±0.33mm,42.68±29.51%),均P<0.05。但两组再狭窄率差异无统计学意义(P>0.05)。

结论

舒血宁在预防冠状动脉内支架置入术后再狭窄方面可能有一定作用。

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