摘要
目的:探讨急性心肌梗死(acute myocardial infarction,AMI)的高龄老年患者采用经皮冠状动脉介入术(percutaneous coronary intervention,PCI)治疗的效果,并进行安全性评估。方法:选取2015年1月-2016年1月本院老年(65周岁以上)AMI并行PCI治疗的患者110例。根据患者年龄分为非高龄组(65~74岁)68例和高龄组42例(≥75岁)。比较两组患者基线资料、术中及术后情况。结果:两组年龄、血清cTnT浓度比较,差异均有统计学意义(P<0.05);两组性别、吸烟史、合并症、Killip心功能分级≥Ⅱ级、胸痛至入院时间比较,差异均无统计学意义(P>0.05)。高龄组"罪犯病变"多于非高龄组(P<0.05);但两组最终放置支架数比较,差异无统计学意义(P>0.05);高龄组术中室性心律失常发生率高于非高龄组(P<0.05),两组术后主诉胸痛症状明显改善及其他术中、术后的各并发症比较,差异均无统计学意义(P>0.05)。结论:对于高龄老年AMI患者,PCI是一种安全有效的治疗手段。
Objective:To explore the efficacy of advanced age patients with acute myocardial infarction(AMI)with percutaneous coronary intervention(PCI),and to evaluate the safety.Method:A total of 110 elder patients(age more than 65 years)with AMI were treated PCI from January 2015 to January 2016 were selected.According to the age,they were divided into 68 cases of non advanced age group(65-74 years old)and 42 cases of advanced age group(age more than 75 years).The baseline data,intraoperative and postoperative conditions were compared between two groups.Result:The age and serum cTnT concentration of two groups were compared,the differences were statistically significant(P<0.05),and gender,smoking history,complications,Killip cardiac function≥Ⅱgrade and chest pain to admission time in two groups were compared,the differences were not statistically significant(P>0.05).The“culprit lesion”in advanced age group was more than that of non advanced age group(P<0.05),but the number of final stents placed in two groups was compared,the difference was not statistically significant(P>0.05),the incidence of ventricular arrhythmia in advanced age group was higher than that of non advanced age group(P<0.05).The symptoms of chest pain after operation were improved obviously,and the complications of other intraoperative and postoperative complications in two groups were compared,the differences were not statistically significant(P>0.05).Conclusion:PCI is a safe and effective treatment on advanced age patients with AMI.
作者
韩崇明
HAN Chongming(Hospital 463 of PLA,Shenyang 110000,China)
出处
《中国医学创新》
CAS
2018年第3期50-53,共4页
Medical Innovation of China
关键词
高龄
急性心肌梗死
经皮冠状动脉介入术
Advanced age
Acute myocardial infarction
Percutaneous coronary intervention
