65岁以上冠心病患者行支架置入术的住院病死率分析

Analyses of in hospital mortality of coronary stenting in elderly patients aged over 65 years with coronary heart disease

目的 总结分析 6 5岁以上老年冠心病患者支架置入治疗的住院死亡情况。 方法 回顾分析我院行冠脉支架置入术的 32 5 2例冠心病患者 ,≥ 6 5岁 1 344例 ,<6 5岁 1 80 8例。采用 χ2检验比较两组冠状动脉病变、住院死亡情况。 结果 ≥ 6 5岁组住院病死率 1 79% (2 4 / 1 344 )高于<6 5岁组的 0 5 0 % (9/ 1 80 8) (P <0 0 1 ) ,两组冠状动脉病变比较差异有显著性 (P <0 0 5 )。 结论 ≥ 6 5岁组冠心病患者行冠状动脉支架置入术治疗 ,技术上可行而住院病死率较 <6

Objective To analyze the differences of hospitalization mortality of coronary stenting in patients with coronary heart disease between the elderly (≥65 years old ) and non elderly. Methods Totally 3252 patients who underwent coronary stenting in Guangdong Provincial People’s Hospital were studied retrospectively. They were divided into elderly group (≥65 years old, n=1344) and non elderly group (<65 years old, n=1808). χ 2 test was used to compare the features of coronary lesions and the hospitalization mortality between the two groups . Results The hospitalization mortality was significantly higher in elderly group than that in non elderly group (1 79% vs 0 50%, P <0 01) . The extents of coronary lesion in elderly group were more serious than those in non elderly group ( P <0 05) . Conclusions Coronary stenting is technologically feasible in elderly patients with coronary heart disease, but the hospitalization mortality in elderly patients is higher than that in non elderly patients.