老年冠心病患者介入治疗体会

目的探讨老年冠心病患者经皮冠状动脉介入治疗的临床疗效。方法选取2011年1月～2012年1月本院收治的年龄>70岁的老年冠心病患者共60例作为实验组,同期年龄<70岁的60例冠心病患者作为对照组,均采用冠状动脉造影检测其冠状动脉的狭窄情况,均符合经皮冠状动脉介入(PCI)术的指征,按照冠状动脉造影的结果进行常规的PCI手术。观察和记录两组患者的手术情况及支架植入情况,若患者术后残余狭窄<10%且不出现严重的不良反应,则为支架植入成功。结果两组患者的病变部位数、手术部位数、手术成功数、手术成功率、支架植入数及支架植入率比较,差异均不存在统计学意义(P>0.05)。结论老年冠心病与非老年冠心病采用经皮冠状动脉介入治疗同样有效、安全。

Objective To explore the elderly coronary heart disease patients after percutaneous coronary intervention treatment. Methods from January January 2011 2012 treated in our hospital age 70 years old patients with coronary heart disease 60 cases as the experimental group, earlier age 70 years 60 patients as control group, using coronary angiography for detection of coronary artery stenosis, are consistent with percutaneous coronary intervention （ PCI ） operation the indications, according to coronary angiography results of conventional PCI operation. Observing and recording in two groups of patients with operation situation and stent implantation, if patients with postoperative residual stenosis 10% and not serious adverse reactions, for successful stent implantation. Results in two groups of patients with lesions of median, operation number operation number operation, success, success rate, the number of stent implantation and stent implantation rates compared, differences are not statistically significant （ P 0.05 ）. Conclusion coronary artery disease in elderly patients with non senile coronary heart disease treated by percutaneous coronary intervention therapy equally effective, safe.