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心绞痛介入治疗联合药物治疗的长期疗效观察

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目的 分析心绞痛介入治疗联合药物治疗的长期疗效.方法 选择心绞痛患者 80 例,按照住院号单双法分为对照组及观察组,每组 40 例.对照组患者给予药物治疗,观察组采取介入治疗联合药物治疗.比较两组治疗前后的心绞痛分级、心脏彩超监测指标(左室收缩末期内径、左室舒张末期内径、左室射血分数)、生存质量[西雅图心绞痛量表(SAQ)评分]以及治疗效果.结果 治疗后,两组患者的心绞痛分级低于本组治疗前,左室收缩末期内径、左室舒张末期内径小于本组治疗前,左室射血分数大于本组治疗前,且观察组患者的心绞痛分级(1.56±0.12)级低于对照组的(2.67±0.45)级,左室收缩末期内径(33.34±1.21)mm、左室舒张末期内径(42.15±2.11)mm小于对照组的(41.67±1.53)、(52.48±2.12)mm,左室射血分数(58.61±0.26)%高于对照组的(54.18±0.37)%(P<0.05).治疗后,两组患者的SAQ评分均高于本组治疗前,且观察组患者的SAQ评分(91.12±3.78)分高于对照组的(81.12±2.12)分(P<0.05).观察组总有效率 100.00%高于对照组 80.00%(P<0.05).结论 心绞痛介入治疗联合药物治疗的长期疗效优于单纯进行药物治疗,可更好减轻患者的心绞痛,改善患者的心功能,促进患者生活质量的提高,是一种值得推广的治疗方案.
Observation on long-term efficacy of interventional therapy combined with drug therapy for the treatment of angina pectoris
Objective To analyze the long-term efficacy of interventional therapy combined with drug therapy for the treatment of angina pectoris.Methods A total of 80 patients with angina pectoris were divided into a control group and an observation group by the odd and even hospitalization number,with 40 cases in each group.The patients in the control group were treated with drug therapy,and the patients in the observation group were treated with interventional therapy combined with drug therapy.Comparison was made on angina pectoris grading,cardiac color ultrasound monitoring indicators(left ventricular end-systolic diameter,left ventricular end-diastolic diameter,left ventricular ejection fraction),quality of life[Seattle Angina Questionnaire(SAQ)score]before and after treatment,and treatment effect between the two groups.Results After treatment,the angina pectoris grading in both groups was lower than that before treatment,the left ventricular end-systolic diameter and left ventricular end-diastolic diameter were lower than those before treatment,and the left ventricular ejection fraction was higher than that before treatment;the angina pectoris grading of(1.56±0.12)grades in the observation group was lower than(2.67±0.45)grades in the control group;the left ventricular end-systolic diameter of(33.34±1.21)mm and the left ventricular end-diastolic diameter of(42.15±2.11)mm in the observation group were smaller than(41.67±1.53)and(52.48±2.12)mm in the control group;the left ventricular ejection fraction of(58.61±0.26)%in the observation group was higher than(54.18±0.37)%in the control group(P<0.05).After treatment,the SAQ score in both groups was higher than that before treatment,and the SAQ score of(91.12±3.78)points in the observation group was higher than(81.12±2.12)points in the control group(P<0.05).The total effective rate of 100.00%in the observation group was higher than 80.00%in the control group(P<0.05).Conclusion The long-term efficacy of interventional therapy combined with drug therapy for angina pectoris is better than that of drug therapy alone.It can better alleviate angina pectoris,improve cardiac function and the quality of life of patients.It is a treatment plan worthy of promotion.

Interventional therapy of angina pectorisDrug therapyLong-term curative effect

陈松、杨姣

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435200 黄石市阳新县中医医院

心绞痛介入治疗 药物治疗 长期疗效

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(5)
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