检验医学与临床2017，Vol.14Issue(9)：1257-1259,3.DOI:10.3969/j.issn.1672-9455.2017.09.020
分期介入治疗颈动脉狭窄合并冠心病患者的疗效及随访效果观察
Effect and follow-up effect of staged interventional therapy in treatment of carotid artery stenosis patients with coronary artery disease
孙雨华 1耿晓坤 2张正海 1张海滨 1甘舜进 1张立新1
作者信息
- 1. 首都医科大学附属北京潞河医院心内科 101149
- 2. 首都医科大学附属北京潞河医院神经内科 101149
- 折叠
摘要
Abstract
Objective To investigate the effect and follow-up effect of staged interventional therapy in treatment of carotid artery stenosis patients with coronary artery disease.Methods A total of 78 patients with carotid artery stenosis and coronary artery disease were treated in the hospital from October 2008 to October 2012 were selected.The patients were randomly divided into observation group and control group,with 39 cases in each group.All patients were given carotid artery stenting (CAS) and percutaneous coronary intervention (PCI),patients in control group were given simultaneous hybrid interventional therapy,while the patients in observation group were given staged interventional therapy.The therapeutic effects,the rates of complications and follow-up effect were compared between the two groups.Results After operation,the total effective rate of observation group was 97.4%,which of the control group was 79.5%,and the difference was statistically significant between the two groups(P<0.05).The incidence of complications of the control group was 38.5%,which of the observation group was 10.3%,and the difference was statistically significant between the two groups (P<0.05).After long-term follow-up,the incidences of in-stent stenosis,vascular occlusion,myocardial infarction and the probability in observation group were all significantly lower than the control group (P<0.05).The differences of kidney function of two groups had no statistical significance before and after surgery (P>0.05),and the differences between the two groups were not statistically significant (P>0.05).Conclusion Using staged interventional therapy in treatment of patients with carotid artery stenosis and coronary artery disease could improve the efficacy,as well as reduce the incidences of complications and improve follow-up effect.It is a safe and clinically effective treatment.关键词
分期介入治疗/颈动脉狭窄/冠心病/疗效Key words
staged interventional therapy/coexistent carotid artery stenosis/coronary artery disease/effect分类
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孙雨华,耿晓坤,张正海,张海滨,甘舜进,张立新..分期介入治疗颈动脉狭窄合并冠心病患者的疗效及随访效果观察[J].检验医学与临床,2017,14(9):1257-1259,3.
