超高龄接受经皮冠脉介入治疗冠心病患者的临床特点

Clinical characteristics of very aged patients with coronary heart disease undergoing percutaneous coronary intervention

目的:探讨超高龄接受经皮冠状动脉介入(PCI)治疗冠心病患者的临床特点。方法:选择我院行PCI冠心病患者895例,分为老年组(<80岁,627例)和超高龄组(≥80岁,268例),对比分析两组患者临床和PCI治疗特点。结果:与老年组比较,超高龄组的高血压(57.7%比69.0%),糖尿病(27.0%比34.7%),心律失常(23.3%比46.3%)的比例显著升高(P<0.05或<0.01);冠脉造影显示慢性完全闭塞病变(14.2%比23.1%)、右冠状动脉病变(15.8%比24.1%)比例显著升高(P<0.05或<0.01);在急诊PCI比例,多支血管病变比例,每例植入支架数以及药物支架应用数量方面两组无明显差别(P均>0.05)。结论:超高龄冠心病患者临床并发症多,而PCI治疗对于超高龄患者仍是安全有效的。

Objective：To explore clinical characteristics of very aged patients with coronary heart disease（CHD）undergoing percutaneous coronary intervention（PCI）.Methods：A total of 895 CHD inpatients undergoing PCI were selected and divided into aged group（80years,n=627）and very aged group（≥80years,n=268）.Clinical and therapeutic characteristics of patients undergoing PCI were compared and analyzed between two groups.Results：Compared with aged group,there were significant rise in percentages of hypertension（57.7% vs.69.0%）,diabetes mellitus（27.0% vs.34.7%）,arrhythmias（23.3% vs.46.3%）,chronic total occlusion lesion（14.2% vs.23.1%）and right coronary artery lesion（15.8% vs.24.1%）indicated by coronary angiography in very aged group,P〈0.05or0.01.There were no significant difference in percentages of emergency PCI and multi-vessel coronary disease,mean number of implanted stents in each case and number of used drug-eluting stents between two groups,P〈0.05.Conclusion：There are many complications in very aged patients with coronary heart disease,and PCI therapy is a safe and effective also for these patients.