【摘要】 目的探讨生物瓣膜与机械瓣膜置换术治疗老年心脏瓣膜病(VHD)的临床疗效及安全性。方法选取我院2017年1月至2019年12月收治的老年VHD患者60例,按随机数字表法将其分为两组,每组各30例。两组均行人工瓣膜置换术治疗,对照组用机械瓣膜,观察组予以生物瓣膜,随访1年。比较两组临床疗效及术后并发症情况。结果观察组手术成功率高于对照组;观察组术后并发症少于对照组,有统计学差异(P<0.05)。结论生物瓣膜置换术可提高老年VHD治疗效果,降低其术后并发症的风险。更多还原

【Abstract】 Objective This paper aims to investigate the clinical efficacy and safety of biological valve replacement and mechanical valve replacement in the treatment of senile valvular heart disease( VHD). Methods A total of 60 elderly patients with VHD admitted to our hospital from January 2017 to December 2019 were selected and divided into two groups according to random number table method,with 30 cases in each group. Both groups were treated with artificial valve replacement,the control group was treated with mechanical valve,and the observation group was treated with biological valve,the follow-up was 1 year.Clinical efficacy and postoperative complications were compared between the two groups. Results The surgical success rate of the observation group was higher than that of the control group; the incidence of postoperative complications of the observation group was lower than that of the control group,with statistical difference( P<0.05).Conclusion Biological valve replacement can improve the treatment effect of elderly VHD,and reduce the risk of postoperative complications.更多还原