摘要
目的探讨经皮腔内血管介入治疗老年下肢闭塞性动脉硬化(ASO)的临床疗效。方法选取2017年9月至2019年9月联勤保障部队第900医院仓山院区收治的94例老年ASO患者。根据治疗方法不同分为对照组和观察组,各47例。统计并比较两组患者治疗有效率;根据治疗后临床疗效进行分组,观察并比较治疗前[空腹血糖、低密度脂蛋白(LDL-C)、高密度脂蛋白(HDL-C)、总胆固醇(TC)、甘油三酯(TG)和超敏C反应蛋白(hs-CRP)];患者进行Rutherford分级。结果对照组患者治疗有效率68.1%低于观察组患者91.5%,差异有统计学意义(P<0.05)。治疗有效患者中,<70岁人数多于≥70岁;治疗前hs-CRP水平高于治疗无效患者;治疗前Rutherford分级整体优于治疗无效患者,差异有统计学意义(P<0.05)。结论下肢ASO老年患者,给予经皮腔内血管介入治疗,可有效改善患者症状,治疗安全性较高,能够达到良好的效果,治疗时需密切关注患者hs-CRP水平。
Objective To explore the clinical effect of percutaneous transluminal vascular intervention in the treatment of senile lower extremity arteriosclerosis obliterans s(ASO).Method From September 2017 to September 2019,94 elderly ASO patients were selected from Cangshan hospital,the 900 th Hospital of the joint service support force.According to different treatment methods,the patients were divided into control group and observation group,47 cases each.Statistics and comparison of the treatment efficiency of the two groups;according to the clinical effect after treatment,the patients were divided into groups,and before treatment[fasting blood glucose,low-density lipoprotein(LDL-C),high-density lipoprotein(HDL-C),cholesterol total(TC),triglyceride(TG)and hypersensitive C-reactive egg white(hs CRP)];the patients were graded by Rutherford.Result The effective rate of the control group was 68.1%lower than that of the observation group 91.5%(P<0.05).Among the effective patients,the number of patients under 70 years old was more than 70 years old;the level of hs CRP before treatment was higher than that of the ineffective patients;the Rutherford grade before treatment was better than that of the ineffective patients,the difference was statistically significant(P<0.05).Conclusion In the elderly patients with lower extremity Aso,percutaneous transluminal vascular intervention can effectively improve the symptoms of the patients.The treatment safety is high and can achieve good results.During the treatment,the level of hs CRP in the patients needs close attention.
作者
张永强
张桂红
葛永杰
黄艳
Zhang Yongqiang;Zhang Guihong;Ge Yongjie;Huang Yan(Department of Cardiovascular Medicine,Cangshan Hospital,900 Hospital of Joint Service Support Force,Fuzhou 350002,Fujian,China)
出处
《血管与腔内血管外科杂志》
2020年第3期222-225,269,共5页
Journal of Vascular and Endovascular Surgery
关键词
闭塞性动脉硬化
老年
经皮腔内血管成形术
血管内支架
超敏C反应蛋白
arteriosclerosis obliterans
elderly
percutaneous transluminal angioplasty
endovascular stent
high sensitive C-reactive protein
作者简介
张永强,副主任医师,主要从事心血管内科介入的研究,联勤保障部队第900医院仓山院区;通信作者:黄艳,E-mail:8047372121@qq.com
