急诊介入治疗高危不稳定型心绞痛的临床研究

目的　研究急诊介入治疗高危不稳定型心绞痛 (UAP)的效果及安全性。方法　 71例UAP患者入院后随机分为两组 :急诊介入治疗组 (4 3例 ) ;非急诊介入治疗组 (2 8例 )。均行冠脉造影和介入治疗。观察 30天内心脏事件 (包括心绞痛、急性心肌梗死、猝死、再次介入治疗及冠脉搭桥手术 )的发生情况 ,症状缓解时间 ,住院时间及住院费用。结果　急诊介入治疗与非急诊介入治疗组比较 ,30天内心脏事件的发生率、症状缓解率及住院时间、住院费用间的差别均有显著性意义 (P <0 0 5 ) ;而手术的成功率及疗效间差别均无显著性意义 (P >0 0 5 )。结论　急诊介入治疗高危的UAP患者效果好 ,安全 ,并可缩短住院时间 ,降低住院费用

The clinical study of emergent intervention for high risk unstable angina pectoris

Objective To study the efficacy and safety of intervention for high risk unstable angina pectoris(UAP).Methods 71 patients with high risk UAP were randomly divided into two groups: emergent interventional groups,43 patients;non-emergent interventional groups,28 patients.All the patients were performed coronary angiography and intervention.The cardiac events(including angina pectoris,acute myocardial infarction,sudden death,reintervention and coronary artery bridge graft) in 30 days,symptom relief rate,symptom relief time,duration of hospitalization and hospitalization expenditure were recorded.Results Emergent intervention decreased cardiac event (angina pectoris,acute myocardial infarction,sudden death) rates in 30 days (P<0.05),shortened symptom relief and hospitalization time(P<0.05),decreased hospitalization expenditure(P<0.05).But the procedural success rates and the efficacy were identical with non-emergent intervention group(P>0.05).Conclusion Emergent intervention for high risk unstable angina pectoris is effective,safe,and also can shorten hospitalization time,decrease expenditure.