关于经皮冠状动脉介入术与冠状动脉搭桥术治疗冠心病患者的成本效益的临床研究进展

被引：15

作者：

温盛燕

佘强

机构：

[1] 重庆医科大学附属第二医院心内科

来源：

心血管病学进展 | 2017年 / 38卷 / 06期

关键词：

经皮冠状动脉介入术; 冠状动脉搭桥术; 冠心病; 成本效益;

D O I：

10.16806/j.cnki.issn.1004-3934.2017.06.007

中图分类号：

R654.2 [心脏];

学科分类号：

100408 [卫生政策与卫生管理学];

摘要：

冠心病是心血管疾病的常见病之一,虽然当前的临床技术日新月异,但对合并左主干或多支血管病变患者,是选择冠状动脉搭桥术(CABG)还是经皮冠状动脉介入术(PCI)仍有争议。对于PCI和CABG术后短期1年内的成本效益,目前仍有争议。对于PCI和CABG术后5年及以上的长期成本效益来说,近年来的临床研究证实CABG虽然花费更高,但其在预期寿命、质量调整生命年、主要不良心脑血管事件发生率和心肌梗死、死亡及卒中的趋势上优于PCI。对于合并糖尿病的多支病变冠心病患者,PCI后有更频繁的重复血运重建,而CABG更能改善患者的生活质量、增加质量调整生命年。

引用

页码：655 / 659

页数：5

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