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稳定型冠心病治疗方案的临床抉择
引用本文:赵旺,赵水平.稳定型冠心病治疗方案的临床抉择[J].医学与哲学,2008,29(6):4-6.
作者姓名:赵旺  赵水平
作者单位:中南大学湘雅二医院心血管内科,湖南长沙410011
基金项目:感谢中南大学哲学系贺达仁教授对本文的指导
摘    要:由于医疗技术水平的发展,稳定型冠心痛的治疗方案在不断地更新与变化。以往,经皮冠状动脉介入术被广泛应用到稳定型冠心痛的治疗上。但最近的COURAGE试验(the clinical outcomes utilizing revascularization and aggressive drug evaluation trial)使得这一治疗手段的合理性和必要性被质疑。我们必须重新考虑稳定型冠心病治疗方案的临床抉择。

关 键 词:治疗抉择  循证医学  稳定型冠心痛  经皮冠状动脉介入术

Clinical Decision of Therapy for Stable Coronary Disease
ZHAO Wang,ZHAO Shui-ping.Clinical Decision of Therapy for Stable Coronary Disease[J].Medicine & Philosophy:Humanistic & Social Medicine Edition,2008,29(6):4-6.
Authors:ZHAO Wang  ZHAO Shui-ping
Institution:(Department of Cardiology of Second Xiangya Hospital of Central South University, Changsha 410011, China)
Abstract:Because of the development of medical technology, the therapy for stable coronary disease continues to be updated and changed. Previously, percutaneous coronary intervention was widely applied to treat stable coronary disease. Recently, the clinical outcomes utilizing revascularization and aggressive drug evaluation trial makes the rationality and necessity of this treatment to be challenged. We have to reconsider the clinical decision of treatment for stable coronary disease.
Keywords:treatment selecting  evidence--based medicine  stable coronary disease  percutaneous coronary intervention
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