首页|药物涂层球囊与药物洗脱支架应用于急性心肌梗死中的疗效对比

药物涂层球囊与药物洗脱支架应用于急性心肌梗死中的疗效对比

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目的:探讨药物涂层球囊(DCB)与药物洗脱支架(DES)在急性心肌梗死(AMI)治疗中的疗效差异.方法:在2022年1月~2023年12月赣州市赣县区人民医院心血管内科治疗的AMI患者中选择80例作为本次研究的参与者.基于治疗过程中所使用的器材类型不同将患者分为两组:一组使用药物涂层球囊(DCB)进行治疗,称为DCB组;另一组则使用药物洗脱支架(DES)进行治疗,称为DES组.每组各40例患者.为了全面评估两种治疗方法的疗效,对两组患者治疗后的多个关键指标进行了比较分析.这些关键指标包括血管再狭窄率、主要不良心血管事件(MACE)的发生率、术后心绞痛发作的状况,以及心功能指标的变化情况.结果:DCB组在血管再狭窄率方面低于DES组(P<0.05),但两组MACE发生率差异无统计学意义(P>0.05);DCB组术后心绞痛发作频率低于DES组(P<0.05),但两组心绞痛发作持续时间差异无统计学意义(P>0.05);两组治疗后心功能指标均有所改善,但差异无统计学意义(P>0.05).结论:DCB在降低血管再狭窄率和减少术后心绞痛发作方面具有一定优势,DES在长期疗效方面表现稳定.临床应根据患者具体情况选择合适的治疗器械.
Comparison of the Efficacy of Drug-Coated Balloons and Drug-Eluting Stents Used in Acute Myocardial Infarction
Objective:To investigate the difference in efficacy between drug-coated balloon (DCB) and drug-eluting stent (DES) in the treatment of acute myocardial infarction (AMI). Methods:During the time span from January 2022 to December 2023,80 patients with acute myocardial infarction (AMI) treated in the Department of Cardiovascular Medicine,Ganxian District People's Hospital,Ganzhou City were carefully selected as participants in this study. Based on the types of equipment used during the treatment,these patients were divided into two groups:one with a drug-coated balloon (DCB),called the DCB group,and one with a drug-eluting stent (DES),named the DES group. Each group contained 40 patients. To comprehensively assess the efficacy of the two treatments,a comparative analysis of multiple key indicators after treatment in the two groups. These key indicators include the rate of vascular restenosis,the incidence of major adverse cardiovascular events (MACE),the status of postoperative angina attacks,and changes in cardiac function indicators. Results:The DCB group was lower than the DES group (P<0.05),but the difference in MACE incidence was not significant (P>0.05);The frequency of postoperative angina attacks in the DCB group was lower than the DES group (P<0.05),but the difference in the duration of angina episodes between the two groups was not significant (P>0.05);The cardiac function index improved,but the difference was not significant (P>0.05). Conclusion:DCB has some advantages in reducing the rate of vascular restenosis and reducing postoperative angina attacks,and DES is stable in long-term efficacy. Appropriate treatment devices should be selected according to patient specific conditions.

acute myocardial infarctiondrug-coated balloondrug-eluting stentefficacy comparison

王小丽、刘克强

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赣州市赣县区人民医院心血管内科,江西赣州 341100

急性心肌梗死 药物涂层球囊 药物洗脱支架 疗效对比

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(24)