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| Effect of intravascular low frequency and high energy ultrasound ablation on atherosclerotic plaque |
| ZHAO Hongmei WANG Ying SONG Aixia LI Linru XU Xuexia LIU Xingliang |
| Third Department of Internal Medicine-Neurology, First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China |
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Abstract Objective To study the clinical effect of intravascular low frequency and high energy ultrasound ablation for atherosclerotic plaque patients. Methods From August 2015 to March 2017, the clinical data of 64 patients with atherosclerotic plaque in the First Affiliated Hospital of Hebei North University were retrospectively analyzed, and they were divided into two groups according to the treatment method, the study group was given intravascular low frequency and high energy ultrasound ablation, the control group was given percutaneous transluminal coronary angioplasty. The clinical effect, complication and recurrence of two groups were compared. Results Before the treatment, the stenosis degree in two groups was compared, the difference was not statistically significant (P > 0.05), after the treatment, the stenosis degree in two group reduced significantly, and this in study group was lower than control group, the differences were statistically significant (P < 0.01); the balloon pressure and dilation time in study group were lower than those in control group, the differences were statistically significant (P < 0.01). Before the treatment, experiment sport results in two groups were compared, the difference was not statistically significant (P > 0.05); after treatment, two groups were improved statistically, and the time of angina pectoris and ST segment in study group decreased more significantly than control group, the differences were statistically significant (P < 0.01). The total effective rate in study group was higher than control group, the complication rate and recurrence rate in study group were lower than control group, the differences were statistically significant (P < 0.05). Before the treatment, the heart function classification in two groups were compared, the difference was not statistically significant (P > 0.05); after the treatment, the ratio of cardiac function Ⅰ and Ⅱ in study group was higher than control group, the difference was statistically significant (P < 0.01). Conclusion Patients with atherosclerotic plaque are better treated with intravascular low frequency and high energy ultrasound ablation will have better effects, it can effectively improve the degree of coronary artery stenosis in patients, promote cardiac function to return to normal, avoid complications and recurrence, alleviate the symptoms of angina pectoris, promote the rapid and stable condition, provide protection for the prognosis.
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[1] 刘巍，周玉杰，赵迎新，等.经桡动脉入径行准分子激光冠状动脉斑块消融术在冠状动脉钙化病变及慢性完全闭塞病变中的应用：中国最初应用经验分享[J].中国介入心脏病学杂志，2016，24（9）：511-514.
[2] 刘蓉，乔树宾，胡奉环，等.肥厚型心肌病化学消融术疗效与冠状动脉特点的相关性研究[J].中国介入心脏病学杂志，2016，24（6）：311-315.
[3] 马韬.心律失常患者射频消融术同时联合冠状动脉造影术的临床意义[J].中国继续医学教育，2017，9（11）：133-135.
[4] 王贺，王俊蒙，孙丹，等.不同冠状动脉间隔支血管心肌化学消融对犬心脏功能的影响[J].中国循环杂志，2016， 31（2）：170-174.
[5] 罗焕，高律萍，朱友义，等.冠状动脉双源CT成像及造影在冠脉粥样硬化性狭窄诊断中的对比[J].医学影像学杂志，2017，27（10）：2017-2019.
[6] 张艳，杨颍，刘锋，等.高脂饮食联合不同类型球囊损伤制备兔腹主动脉粥样硬化斑块模型实验研究[J].中华实用诊断与治疗杂志，2017，31（9）：850-853.
[7] 王雪青，张扬，邹晓译，等.三氧化二砷对人脐静脉内皮细胞增殖的影响[J].中华实用诊断与治疗杂志，2015，29（5）：448-449.
[8] 张正升，张申，吴联合，等.心脏瓣膜置换合并冠状动脉搭桥患者同期行房颤射频消融术的临床应用[J].实用医学杂志，2017，33（18）：3077-3080.
[9] 徐佑龙，刘宗军，金惠根，等.经皮肾动脉交感神经消融术对难治性高血压患者术后即刻肾动脉直径的影响[J].第二军医大学学报，2015，36（8）：862-866.
[10] 王青涛，王志维.超敏C反应蛋白和肿瘤坏死因子α对急性冠脉综合征合并心律失常患者射频导管消融治疗效果的影响研究[J].实用心脑肺血管病杂志，2015， 23（5）：9-12.
[11] 袁源，姜兆磊，尹航，等.合并房颤者的非体外循环冠状动脉旁路移植同期心外膜射频消融治疗[J].中华胸心血管外科杂志，2015，31（10）：590-593.
[12] 杜先锋，储慧民，何斌，等.肺动脉参考导管在心房颤动射频消融术中的应用[J].中华心律失常学杂志，2015， 19（4）：279-283.
[13] 蒋艳艳，张自然，杨玲，等.冠状动脉搭桥术同时行射频消融术后的护理[J].中西医结合心血管病电子杂志，2015， 3（4）：163-164.
[14] 杨霞峰，王风云，李延辉，等.低频超声治疗对动脉粥样硬化性大脑中动脉狭窄急性脑梗死患者的临床疗效观察[J].中华神经医学杂志，2016，15（1）：15-19.
[15] 戚星星，汤晓寅，王智，等.经皮B超引导下微波消融术治疗肝脏巨大血管瘤的可行性、安全性及疗效分析[J].肝脏，2017，22（8）：680-684.
[16] 孙力波，赵晓飞，张海涛，等.射频消融治疗肝血管瘤的效果观察[J].临床肝胆病杂志，2017，33（1）：91-94.
[17] 陈慧斐.经皮冠状动脉介入术对冠状动脉微循环的影响[J].临床心电学杂志，2016，25（4）：256-258.
[18] 马云涛，邹金成，张爱丽，等.不同频率射频用于仿硬化斑块消融方法研究[J].中国医疗器械杂志，2017，41（4）：240-243.
[19] 李赐恩，邱春光.器质性心脏病相关室性心律失常导管消融进展[J].中国循证心血管医学杂志，2017，9（3）：380-381，384.
[20] 马元，车贤达，屈百鸣，等.心内膜希氏束标测在房室结折返性心动过速射频消融术中的应用[J].中华医学杂志，2017，97（17）：1346-1348.
[21] 严翼飞，李金轶，钟国强，等.三维标测系统指导下零射线射频消融治疗房室结折返性心动过速的效果[J].中国医药导报，2017，14（20）：23-27.
[22] 史力生.老年冠状动脉粥样硬化性心脏病心房颤动患者导管消融治疗的有效性和安全性[J].中国医药，2017， 12（2）：174-177. |
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