许继昆

[摘要] 目的 探究心血管內科冠状动脉介入对临床的诊断与治疗的效果。方法 该次研究的对象为随机选取2018年5月—2019年5月该院收治的160例因为心悸、胸闷、胸痛接受心血管治疗患者，随机将其分为两组，分别为对照组与观察组，每组80例，对照组患者采取常规内科治疗，观察组患者采用心血管内科冠状动脉介入性治疗，对比两组患者临床疗效。结果 经治疗后，对两组患者转归情况进行系统评价，观察组中总有效患者75例，总有效率91.46%，对照组中总有效患者65例，总有效率81.25%，观察组总有效率明显高于对照组，差异有统计学意义（χ2=4.630，P=0.030 <0.05）;观察组患者住院时间为（9.35±3.58）d，对照组患者住院时间为（14.22±2.34）d，观察组患者住院时间明显比对照组短，差异有统计学意义（t=10.180，P=0.000<0.05）;观察组患者的住院费用明显比对照组高，差异有统计学意义（t=11.790，P=0.000<0.05）;观察组患者的不良反应与对照组患者相比，差异无统计学意义（χ2=0.600，P=0.440>0.05）。结论 对心血管疾病患者采取心血管内科冠状动脉介入治疗的临床疗效显著，与传统的诊断方式相比较，介入治疗结合临床症状，能早期明确诊断，为疾病的临床治疗提供可靠依据;介入治疗的实施减少对患者机体的创伤，能明显缓解患者痛苦，促进患者疾病恢复，提高患者满意程度。

[关键词] 心血管内科;冠状动脉介入;诊断;治疗

[Abstract] Objective To explore the effect of coronary intervention in cardiovascular medicine on clinical diagnosis and treatment. Methods The subjects of this study were random selected 160 patients admitted to the hospital from May 2018 to May 2019 for cardiovascular treatment due to palpitations， chest tightness， and chest pain. They were randomly divided into two groups， the control group and the observation group. There were 80 patients in each group. The patients in the control group were treated with conventional medical treatment. The patients in the observation group were treated with coronary artery intervention in cardiovascular medicine. The clinical effects of the two groups were compared. Results After treatment， the outcomes of the two groups of patients were systematically evaluated. The total effective patients in the observation group were 75 case and the total effective rate was 91.46%. The total effective patients in the control group were 65 case and the total effective rate was 81.5%. Significantly higher than the control group， the difference was statistically significant （χ2=4.630， P=0.030 < 0.05）; the hospital stay of the observation group was （9.35±3.58） days， and the hospital stay of the control group was （14.22±2.34） days. The hospitalization time of the patients in the group was significantly shorter than that of the control group， and the difference was statistically significant （t=10.180， P=0.000 <0.05）. The hospitalization cost of the patients in the observation group was significantly higher than that of the control group， and the difference was statistically significant （t=11.790， P=0.000 <0.05）; there was no significant difference in adverse reactions between the observation group and the control group （χ2=0.600， P=0.440 > 0.05）.Conclusion Compared with traditional diagnostic methods， interventional therapy combined with clinical symptoms can provide a clear diagnosis at an early stage and provide a reliable basis for clinical treatment of diseases. The implementation of reducing the trauma to the patient's body can obviously alleviate the patient's pain， promote the recovery of the patient's disease， and improve the degree of patient satisfaction.

[Key words] Cardiovascular medicine; Coronary intervention; Diagnosis; Treatment

心血管疾病是临床上比较常见的一类内科疾病，又被称为循环系统疾病，主要临床表现为心悸、胸闷、胸痛、头晕、呼吸困难等，对人类健康造成严重威胁[1];针对该类疾病治疗，临床上一般采取药物治疗来控制病情，减轻临床症状，但是临床疗效不理想，给患者及家庭带来较大的经济压力，严重影响到患者的生活质量[2]。随着社会的不断发展，介入治疗也被广泛运用到临床当中，为进一步了解心血管内科冠状动脉介入对临床诊断与治疗的效果，现对该院2018年5月—2019年5月该院收治的160例因为心悸、胸闷、胸痛接受心血管治疗患者采取心内科冠状动脉介入治疗，结果报道如下。……