摘要
目的分析老年冠心病(CAD)介入治疗的安全性和其影响因素.方法回顾性对比分析连续1754例CAD病人的主要临床和介入资料特点.根据年龄将病例分为成人组(≤64岁)526例、老年组(65～74岁)765例、高龄组(75～84岁)293例,超高龄组(≥85岁)170例.结果老年组与成人组、老年各亚组之间、高龄高危复杂病例组(679例,占55.3%)与老年组之间在介入操作成功率、并发症、围术期病死率和随访主要心脏不良事件发生率方面均无显著差异(P＞0.05).结论(1)对老年CAD病人施行介入治疗操作安全可行.(2)与普通成人相比,对高龄、高危和复杂CAD病人施行介入治疗并不增加并发症和病死率.(3)操作条件和技术水平是影响老年CAD介入治疗质量的重要因素.
Objectives To analyze the safety of interventional therapy and the factors influencing its quality in old patients with coronary artery disease （CAD）. Methods Consecutive 1754 patients with CAD were divided into adult group（ ≤64 years, n = 526） ,aged group（65 - 74 years, n = 761） ,elderly group（75 - 84 years, n = 293）and advanced age group（ ≥85 years, n = 170）. Their clinical and interventional procedure data were analyzed respectively. Results In 1754 analyzed patients, the number of cases older than 65 years were 1228 （70%）. There was no significant difference among above four groups in operative success rate, complication rate, peri-operative mortality and major adverse cardiac events （ P 〉 0.05）. Special group consisting of advanced age patients, eases at high risk, and complex eases （679 eases, 55.3%） had the similar interventional results to aged group （ P 〉 0.05）. Conclusions （ 1 ） It is safe and feasible to use interventional therapy for treatment of old patients with CAD. （2） Complication rate and mortality do not increase in advanced age patients, patients at high risk and complex cases compared with common adult group （ P 〉 0.05）. （3） Operative condition and technique are key factors to ensure the quality of interventional therapy in the elderly.
出处
《中华老年多器官疾病杂志》
2005年第2期98-101,共4页
Chinese Journal of Multiple Organ Diseases in the Elderly
关键词
冠心病
介入治疗
老年
coronary artery disease
interventional technique
aged
