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Do you know the cost and risk of heart stent surgery?
In recent years, the interventional diagnosis and treatment technology of cardiovascular diseases in China has been improved year by year. Among them, as one of the most important technologies, the interventional diagnosis and treatment of coronary heart disease exceeded 450 thousand cases throughout the year, and about 680 thousand stents were used. According to incomplete statistics, the number of patients undergoing percutaneous coronary intervention in China increased from175,000 in 2009 to 454.505 million in 20 13 years. In 2009-20 1 1 three years, the average number of stents per case in China was 1.59, and in 201three years it was 1.5 1. However, from June 20 10 to June 201year, the average number of stents in the United States was 1.4, Spain was 1990 to 20 1 1, and Malaysia was/. It is necessary to strengthen the management and guidance of this technology to make it develop healthily under the premise of standardization.
So after the heart stent surgery, everything is once and for all? Not necessarily. At present, this kind of interest-driven surgery does not put the patient's life first, which will bring endless troubles. "Abuse" and "profiteering" directly lead to the following problems.
Question 1: Will China people get the most out of the technology in the world?
According to Zhong Zhimin, director of Cardiovascular Surgery of the Second People's Hospital of Guangdong Province, the main treatment for coronary heart disease is heart bypass surgery or heart stent surgery. Surgical treatment (bypass surgery) refers to taking out a blood vessel from other parts of the patient and then connecting it to both ends of the narrow or blocked coronary artery, so as to bypass the blood flow, provide oxygen to the ischemic myocardium and alleviate the symptoms of myocardial ischemia. Stenting is a cardiac catheterization technique, in which stents or other instruments are placed in the coronary artery through the femoral artery at the root of thigh or the radial artery at the wrist to relieve coronary artery stenosis.
Zhong Zhimin and other experts believe that it is a complete misunderstanding to say that this technology has been eliminated abroad. Cardiac stents have saved many patients in acute stage. For patients with acute myocardial infarction, time is life, and the earlier the blood vessels are opened, the better the treatment effect. Placing stents to open blood vessels is the most effective method. This technique is one of the commonly used methods to treat coronary heart disease, and it has been very mature at home and abroad.
Question 2: Is the heart stent a "time bomb" buried in the body?
According to Yan Ji, director of the Department of Cardiology of Anhui Provincial Hospital, the technology of heart stent is also improving day by day. The first generation is balloon stent, which is a local anesthesia in vitro, and then the stent is placed in the narrowed part of the blood vessel with a catheter. However, it was later found that about half of the patients had another blockage at the surgical site between three months and six months after operation. A new type of stent was invented in the 1990s, and the rate of postoperative re-occlusion decreased 15%-30%. At present, the third generation stent, namely drug stent, is the most commonly used in clinic in China. Drugs are attached to the stent to prevent excessive proliferation and calcification of the surgical site. At present, the probability of re-blockage of the surgical site is only 5%-8%.
"Now the fourth generation scaffold is a biodegradable biological scaffold, and of course it is more expensive. In a word, this technology is improving, with fewer and fewer clinical side effects and better postoperative results. It is a mature technology fully affirmed at home and abroad. The post said that the stent will be blocked again, which is absolutely alarmist. " He said.
Question 3: Did you die of stents or drugs?
Yan Ji believes that lifelong medication is also a misunderstanding. There are three main treatments for coronary heart disease: drugs, stents and heart bypass. Of course, regardless of stent and bypass, drugs are used at the same time. Of course, patients with coronary heart disease should take medicine for life to adjust blood viscosity. There are five commonly used drugs, such as aspirin, some are calcium channel blockers, some are thrombolytic drugs, and some are lipid-regulating. The effect of aspirin is mainly used for antiplatelet. Take it for a long time even if you don't do a stent; People who have had bypass surgery should also eat it. People without medical knowledge say that aspirin causes cancer is a joke.
Question 4: Who is responsible for bridging or supporting?
"The indicators have the final say." Zhong Zhimin said. It is reported that there are about 654.38+70 million "stents" in the world every year. But stents are not suitable for all patients with coronary heart disease. Generally speaking, for left main lesion, three-vessel lesion, multiple lesions, multiple lesions, diffuse lesions or lesions at main vascular bifurcation, patients are advised to adopt surgical "bypass" surgery. Because if these lesions are blindly forced to place stents, on the one hand, problems are prone to occur during the operation, and patients are prone to life-threatening; On the other hand, there are many diffuse coronary artery lesions. If the problem is to be completely solved, 2-3 stents can't solve the problem, and the probability of restenosis in the near future is high. Therefore, patients can't choose treatment simply from "preference" and must strictly follow the surgical indications. Otherwise, not only will you not get better treatment, but you will also bear high expenses.
Experts sorted out the indications, advantages and disadvantages of the two treatment methods: heart bypass surgery is suitable for patients with left main artery disease, three-vessel disease, cardiac insufficiency, diabetes, coronary heart disease and complications after myocardial infarction. Cardiac stent surgery is suitable for patients aged 30-65, who often have myocardial infarction after coronary angiography to determine the degree of stenosis occlusion.
The advantage of heart bypass is that it can solve the serious coronary artery disease, and the long-term effect is good. The disadvantage is that the operation time is long and the trauma is great, and the use of cardiopulmonary bypass will affect other organs. Stent surgery has the advantages of short operation time, minimally invasive and repeated placement, but the disadvantage is that restenosis may occur and the probability of re-intervention is high.
Question 5: After the operation, once and for all?
Zhong Zhimin said that surgery mainly plays a role in relieving symptoms and stabilizing the condition. In order to achieve good results, postoperative nursing can not be ignored. In addition to taking medicine, rest more after surgery, and you can exercise properly, such as walking, but you can't exercise vigorously; Scientifically arrange the diet to ensure the proper intake of fruits and vegetables and low-fat and high-protein foods; Drink a small amount of alcohol, it is best not to drink, and those who need entertainment should not exceed 50 ml per day. No smoking; After surgery, it is still necessary to check the physical examination regularly, so that doctors can treat it in time.
Yan Ji introduced that many people now lead irregular lives. Excessive consumption of fish, meat, tobacco and wine can easily lead to high blood lipids, decreased blood viscosity, and sometimes cardiovascular blockage, leading to myocardial infarction. Heart stent is really not a once-and-for-all treatment for coronary heart disease. Because the coronary artery of a patient with coronary heart disease has been diseased, stent implantation can only rule out the risk of the most dangerous part of myocardial infarction at present, but if his cardiovascular system continues to deteriorate and lesions continue to appear elsewhere, it is necessary to continue to put stents.
So can we avoid not doing heart stent surgery, but also save patients' lives and ensure their health? The answer is yes, yes! As long as patients can often take thrombolytic drugs such as lumbrokinase and urokinase to make their thrombi dissolve and blood vessels unblocked, expensive and risky stent surgery can be avoided. It is a thrombolytic drug such as lumbrokinase and urokinase. These injectable drugs cannot be used for a long time, and generally cannot be used continuously for more than 5 days. After more than five days, the patient's life will be in danger. Hubei Garlic Bean Biotechnology Co., Ltd. patented thrombolytic functional food, which has obtained the national export inspection-free qualification, is safe and has no side effects, and has been exported to foreign markets. It is safe, effective and economical to prevent and treat cardiovascular and cerebrovascular diseases with garlic beans, and there is no substitute.
This problem can be effectively solved. Many patients with heart disease have been examined in the hospital and need stent surgery, but after eating garlic beans for two or three months, the embolism is gone and the blood vessels are opened, so there is no need for stent surgery. It does bring good news to heart patients.
The effective components of garlic contain thrombolytic enzyme, and each 10g contains 16000 units, which is equivalent to injecting urokinase from 800 yuan. It also contains hemostatic substances such as vitamin K, soybean polypeptide and lecithin, and the antibacterial substance Monascus, which can powerfully dissolve thrombus, promote blood circulation, protect vascular elasticity, reduce blood lipid and blood viscosity, and prevent and treat hypertension, myocardial infarction and cerebral infarction. Thrombolytic enzyme from garlic does not reduce its gastrointestinal activity and is suitable for oral administration. It is suggested that effective components be extracted to make thrombolytic drugs, which is convenient for publicity. If this is done, garlic beans in China will no longer be the most effective, safest and most economical. Although quasi-brand drugs such as urokinase, snake venom, leech, lumbrokinase and streptokinase can dissolve thrombus, they are accompanied by side effects, which can cause bleeding at any time, and garlic beans no longer have their unique excellent quality.
Indications: Patients with high blood viscosity, apoplexy sequelae, thrombosis and fatty liver.
Effective components of garlic:
1. Thrombolytic enzyme (nattokinase): directly dissolves thrombus.
(For details, please go to Baidu to search for "nattokinase")
2. Soybean peptide: reduce blood lipid, cholesterol, blood pressure, increase bone density and protect vascular elasticity.
(For details, please go to Baidu to search for "soybean polypeptide")
3. Lecithin: decompose oil, promote blood circulation, remove peroxide, reduce blood lipid and cholesterol, and eliminate atherosclerosis.
(For details, please search Baidu for "lecithin")
4. Soybean isoflavones: enhance the ovarian function of women and slow down menopausal syndrome.
(For details, please search Baidu for "soybean isoflavone")
5. vitamin k: anti-bleeding.
(For details, please go to Baidu to search for "vitamin K")
For more health knowledge, please pay attention to the headline "West Side Miscellaneous Affairs"
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