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不同分支保护技术对接受冠状动脉介入治疗患者的临床疗效及预后分析。

Clinical efficacy of different side branch protection techniques on patients receiving coronary intervention and prognostic analysis.

机构信息

Department of Cardiovascular Medicine, Jiangmen Central Hospital, Jiangmen, P.R. China.

出版信息

Eur Rev Med Pharmacol Sci. 2018 Oct;22(20):6977-6982. doi: 10.26355/eurrev_201810_16168.

Abstract

OBJECTIVE

To investigate and analyze the clinical efficacy of different side branch protection techniques on patients receiving coronary intervention and the patient's prognosis.

PATIENTS AND METHODS

A total of 80 patients with coronary heart disease treated in Jiangmen Central Hospital from January 2014 to January 2017 were collected. According to different side branch protection strategies selected during operation, they were divided into jailed wire technique (JWT) group (n=20), jailed balloon technique (JBT) group (n=20), balloon-stent kissing technique (BSKT) group (n=20), and BSKT+RW group (n=20). The relevant operation parameters and the prevalence of adverse reactions at 1 month and 6 months after operation were compared among the four groups.

RESULTS

The success rate of operation and relevant operation parameters in BSKT+RW group were slightly superior to those in the other three groups, but there were no significant differences among the four groups (p>0.05). Besides, the prevalence rates of adverse reactions at 1 month and 6 months after the operation had no significant differences among the four groups, but they were slightly lower in BSKT+RW group than those in the other three groups.

CONCLUSIONS

There are no significant differences in the clinical efficacy and postoperative recovery of patients receiving coronary intervention among the four kinds of different side branch protection techniques. However, BSKT+RW is slightly superior to the other three treatment methods, which, therefore, is a preferred choice if the patient's economic conditions permit.

摘要

目的

探讨分析不同边支保护技术对冠心病介入治疗患者的临床疗效及预后的影响。

方法

选取江门市中心医院 2014 年 1 月至 2017 年 1 月收治的冠心病患者 80 例,根据术中所选择的边支保护策略不同分为 JWT 组(n=20)、JBT 组(n=20)、BSKT 组(n=20)、BSKT+RW 组(n=20)。比较四组患者相关手术参数及术后 1 个月、6 个月不良反应发生率。

结果

BSKT+RW 组的手术成功率及相关手术参数稍优于其他三组,但四组间比较差异无统计学意义(p>0.05)。此外,四组患者术后 1 个月、6 个月不良反应发生率比较差异无统计学意义,但 BSKT+RW 组略低于其他三组。

结论

四种不同边支保护技术对冠心病介入治疗患者的临床疗效及术后恢复影响无显著差异,但 BSKT+RW 稍优于其他三种治疗方法,若患者经济条件允许,可作为优先选择。

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