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不稳定型心绞痛介入治疗与药物治疗近期疗效观察
引用本文:解冰,张革,张英慧,王雪飞. 不稳定型心绞痛介入治疗与药物治疗近期疗效观察[J]. 中国介入心脏病学杂志, 2001, 9(Z1): 71-72
作者姓名:解冰  张革  张英慧  王雪飞
作者单位:1. 鞍钢铁东医院心内科
2. 鞍钢铁东医院CCU病房
摘    要:目的对比以PTCA及支架术为代表的介入治疗和药物治疗对UAP患者疗效、预后的影响.方法将40例UAP随机分组,介入组(n=20)全部接受PTCA及支架术,药物组(n=20)根据病情选择β阻滞剂、硝酸酯类、Ca拮抗剂、阿斯匹林、肝素、抵克力得等多种药物组合或溶栓治疗.对比两组治疗前及治疗后8个月内胸痛分级、AMI、心源性死亡及其它原因死亡的比例.结果介入组显效率高于药物组,无效率低于药物组,心梗发生率及心源性死亡率显著低于药物组.结论以PTCA及支架术为代表的介入治疗近期疗效优于药物治疗且改善预后胜于药物治疗.

关 键 词:介入治疗   药物治疗   不稳定心绞痛   UAP
修稿时间:2001-03-21

Observation the short term therapeutic effects in treating UAP with drugs and interventional method
XIE Bing,ZHANG Ge,ZHANG Yinghui,et al.. Observation the short term therapeutic effects in treating UAP with drugs and interventional method[J]. Chinese Journal of Interventional Cardiology, 2001, 9(Z1): 71-72
Authors:XIE Bing  ZHANG Ge  ZHANG Yinghui  et al.
Affiliation:XIE Bing,ZHANG Ge,ZHANG Yinghui,et al. Department of Cardiology,AnGang Tie Dong Hospital,AnShan,LiaoNing 114003,China
Abstract:Objective To inspect the therapeutic effect and prognosis of treating Unstabled Angina Pectoris (UAP) with drugs and interventional methods.Methods 40 patients were treated randomly with PTCA and stenting or traditional drugs: Beta blockers, Calcium resistants, Ester nitrates, Asprin, Heparin and so on.Compared degrees of angin pectoris, cases of AMI, mortality arising from heart disease or no heart disease before and 8 months after the treatment. Results Happening of AMI and mortality in interventional group were less than those of drugs group. Distinctly improving rate of clinical effect of the former was much more than that of the later.Conclusion In short term interventional treatment (PTCA and stenting) were piror to drugs in therapeutic effects and improving prognosis.
Keywords:Interventional treatment  Pharmaceutical treatment  UAP
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