检验医学与临床2019，Vol.16Issue(4)：490-492,3.DOI:10.3969/j.issn.1672-9455.2019.04.016
冠状动脉造影联合血流储备分数在冠心病介入治疗中的临床应用价值
Clinical application value of coronary arteriography combined with fractional flow reserve in intervention therapy of coronary heart disease
陈青 1冯韩章1
作者信息
- 1. 陕西延安大学咸阳医院心内科三病区, 陕西咸阳 712000
- 折叠
摘要
Abstract
Objective To discuss the effect of coronary arteriography plus fractional flow reserve (FFR) in the intervention therapy of coronary heart disease (CHD).Methods One hundred and seventy-two patients received the coronary arteriography, which clearly determined that the blood vessel diameter＞2.25mm and coronary artery stenosis degree 70％-90％.The patients prepared to implant the stents and were admitted in the hospital from June 2016to June 2017.The subjects were randomly assigned to the control group (n=86, conducting the conventional drug eluting stent implantation) and observation group (n=86, conducting the FFR determination, the drug eluting stents were implanted in the lesions with FFR≤0.80).The therapeutic situation was observed, moreover the 1-year followed was performed.Results The implanted stent number and dose of contrast agent in the observation group were less than those in the control group, and the hospitalization cost was lower than that in the control group (P＜0.05);the asymptomatic rate of postoperative angina in the observation group was significantly higher than that in the control group (P＜0.05);in addition, there was no death case in the two group after 1-year follow.The incidence rate of major adverse cardiac events had no statistically significantly difference between the two groups (P＞0.05).Conclusion The coronary arteriography combined with FFR can greatly reduce implanted stent number and the hospitalization costs, improve the angina symptoms and do not increase the incidence rate of major adverse cardiac events.关键词
冠心病/血流储备分数/冠状动脉造影Key words
coronary heart disease/fractional flow reserve/coronary arteriography分类
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陈青,冯韩章..冠状动脉造影联合血流储备分数在冠心病介入治疗中的临床应用价值[J].检验医学与临床,2019,16(4):490-492,3.
