摘要
目的 探讨血流储备分数(fractional flow reserve,FFR)在高原急性冠脉综合征(acute coronary syndrome,ACS)患者中的应用价值.方法 选取2022年1月1日～2023年5月20日于我院收治的藏族ACS患者120例,根据CAG分为CAG组和FFR组,每组60例,CAG组行单纯CAG指导下治疗,FFR组行CAG联合FFR指导下治疗,比较两组(CAG组和FFR组)PCI资料、检验资料.比较两组(FFR组A和FFR组B)的检验资料.结果 FFR组在支架、造影剂、手术时间、住院费用均少于CAG组,(P＜0.05);FFR组A在海拔、Hb、Hct、LDL-C水平均高于FFR组B,(P＜0.05).结论 高原ACS患者在FFR指导下,可减轻住院经济负担.Hb、Hct、LDL-C水平是高原ACS存在的高危因素.
Abstract
Objective Objective:Exploring the application value of blood flow reserve fraction(FFR)in patients with acute cor-onary syndrome(ACS)at high altitude.Methods 120 Tibetan ACS patients who were hospitalized in our hospital from January 1,2022 to May 20,2023 were selected.They were randomly divided into two groups according to the number table method:the CAG combined with FFR guidance group(FFR group)and the CAG group(CAG group).The general clinical data,PCI data,and test data of the two groups of patients were compared.Divide the FFR group into two groups based on the presence or absence of stents:the stenting group(FFR group A)and the non stenting group(FFR group B),and compare the test data of the two groups of patients.Re-sults There was no statistically significant difference in general data between the FFR group and the CAG group(P＞0.05);The FFR group had significantly lower stent,contrast agent,surgical time,and hospitalization costs compared to the CAG group(P＜0.05);The elevation,Hb,Hct,and LDL-C levels of FFR group A were higher than those of FFR group B,with statistical significance(P＜0.05).Conclusion FFR guided revascularization can reduce the use of stents,contrast agents,and surgical time in high-altitude ACS patients,reduce economic burden,and provide targeted follow-up of Hb,Hct,and LDL-C levels for patients with high-risk factors for high-altitude ACS.
维普
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