首页|冠脉造影联合血流储备分数在评估经皮冠状动脉介入术中的价值

冠脉造影联合血流储备分数在评估经皮冠状动脉介入术中的价值

扫码查看
目的:探究冠脉造影联合血流储备分数(fractional flow reserve,FFR)在评估经皮冠状动脉介入术(percutaneous coronary intervention,PCI)中的临床应用价值.方法:选择 2021 年 5 月—2022 年8 月丰城市人民医院收治的 120 例冠心病患者,随机分为对照组和观察组,各 60 例.对照组接受冠状动脉造影及PCI治疗,观察组在对照组基础上联合FFR诊断,依据FFR结果判定PCI方式.对比两组支架置入数量、不良心血管事件发生率、心功能、6 min步行距离(6-minute walking distance,6MWD)、西雅图心绞痛量表(Seattle angina questionnaire,SAQ)评分.结果:观察组支架置入数量较对照组明显少,差异有统计学意义(P<0.05).观察组不良心血管事件发生率低于对照组,差异有统计学意义(P<0.05).治疗前,两组心功能、6MWD、SAQ评分对比,差异均无统计学意义(P>0.05);治疗后,观察组心功能、6MWD、SAQ评分均优于对照组,差异均有统计学意义(P<0.05).结论:冠脉造影联合FFR,对PCI术的方式具有显著的评估价值,提高临床治疗准确性和有效性.
The Value of Coronary Angiography Combined with Blood Fractional Flow Reserve in Evaluating Percutaneous Coronary Intervention
Objective:To explore the clinical application value of coronary angiography combined with fractional flow reserve(FFR)in the evaluation of percutaneous coronary intervention(PCI).Method:A total of 120 patients with coronary heart disease admitted to Fengcheng People's Hospital from May 2021 to August 2022 were selected,and randomly divided into control group and observation group,60 cases in each group.The control group received coronary angiography and PCI treatment,while the observation group was combined with FFR diagnosis on the basis of the control group,and the PCI method was determined based on the FFR results.The number of stent placements,the incidence of adverse cardiovascular events,cardiac function,6-minute walking distance(6MWD),and Seattle angina questionnaire(SAQ)scores were compared between the two groups.Result:The number of stents in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).The incidence of adverse cardiovascular events in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Before treatment,there were no statistically significant differences in cardiac function,6MWD,and SAQ scores between the two groups(P>0.05);after treatment,the cardiac function,6MWD,and SAQ scores in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Coronary angiography combined with FFR has significant evaluation value for PCI and improves the accuracy and effectiveness of clinical treatment.

Coronary angiographyFractional flow reservePercutaneous coronary interventionAdverse cardiovascular events

熊丹东、夏日辉、杨圆珍、熊辉、吴高祥、徐仕芳

展开 >

丰城市人民医院心血管内科 江西 丰城 331100

冠脉造影 血流储备分数 经皮冠状动脉介入 不良心血管事件

江西省卫生健康委科技计划项目

202312254

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(2)
  • 16