摘要
目的:研究老年复合心血管病患者联合介入治疗的疗效。方法:2012年3月-2014年6月收治老年复合心血管病患者88例,分成联合介入治疗组(44例)和单项介入治疗组(44例),比较两组的治疗效果。结果:联合介入组的治愈率95.45%,单项介入组的治愈率97.73%,差异无统计学意义(P>0.05)。两组并发症发生率均为0,差异无统计学意义(P>0.05)。联合介入组的手术时间(120.5±30.0)min,造影剂用量(170.5±25.5)mL,住院费用(90 146±1 215)元;单项介入组的手术时间(80.5±6.0)min,造影剂用量(140.0±10.5)mL,住院费用(66 098±1 283)元,两组相比,手术时间、造影剂用量和住院费用差异都具有统计学意义(P<0.05)。结论:联合介入治疗老年复合心血管病成功率和并发症与单项介入治疗无差别。手术近期效果有手术操作时间较长,手术费用较多,造影剂用量较多的不足。长期效果有手术次数少,住院时间短,避免反复住院治疗的好处。
Objective:To study the curative effects of combined intervention in the treatment of elderly patients with composite of cardiovascular disease.Methods:88 cases of elderly patients with composite of cardiovascular disease from March 2012 to June2014 were divided into the combined intervention group(44 cases) and the single intervention group(44 cases).Compare the curative effects of the two groups.Results:There was no statistically significant difference of the cure rates between the combined intervention group(95.45%) and the single intervention group(97.73%),without difference(P>0.05).The incidence of complications of the two groups all were 0,and there was no statistically significant difference(P>0.05).The operating time of the combined intervention group was(120.5 ± 30.0)min and the dosage of contrast medium was(170.5 ± 25.5)m L,with the hospitalization cost(90 146±1 215)yuan.The operating time of the single intervention group was(80.5±6.0)min and the dosage of contrast medium was(140.0±10.5)m L,with the hospitalization cost(66 098±1 283)yuan.The operation time,the dosage of contrast medium and the hospitalization cost of the combined intervention group compared with that of the single intervention group,and there were statistically significant differences(P<O.05).Conclusion:There are no differences of the success rate and complications between the combined intervention group and the single intervention group.The short-term effects after combined intervention have the shortcomings of longer operating time,more hospitalization cost and more dosage of contrast medium.The long-term effects after combined intervention have the advantages of few times of operation,shorter hospitalization time and avoiding repeated hospitalization.
关键词
老年复合心血管病
联合介入
疗效
Elderly patients with composite of cardiovascular disease
Combined intervention
Curative effect
