高龄与非高龄患者永久性起搏器植入的比较分析

Clinical effect of permanent cardiac pacemaker implantation in elderly and non-elderly patients:a comparative analysis

目的探讨老年高龄患者植入永久起搏器的安全性及有效性。方法回顾性分析我院2014年1月至2015年12月接受心脏永久起搏器植入治疗的125例患者,分为高龄组与非高龄组,比较分析其基线资料、起搏器适应征、起搏电极参数、并发症情况。结果 125例患者分为高龄组31例和非高龄组94例。基线资料比较提示高龄组冠心病患病率明显高于非高龄组。在起搏器适应征和起搏电极参数方面高龄组与非高龄组比较均无统计学差异。高龄组发生1例起搏器相关并发症,非高龄组发生4例并发症,两组无差别。结论老年高龄患者植入心脏永久起搏器是安全有效的。

Objective To investigate the clinical effect and safety of permanent cardiac pacemaker implantation in elderly patients. Methods A retrospective analysis was performed for 125 patients who underwent permanent cardiac pacemaker implantation in our hospital from January 2014 to December 2015. These patients were divided into elderly group and non-elderly group, and the two groups were compared in terms of baseline data, indications for pacemaker,pacemaker electrode parameters, and complications. Results There were 31 patients in the elderly group and 94 patients in the non-elderly group. Baseline data showed that the elderly group had a significantly higher proportion of patients with coronary heart disease than the non-elderly group. There were no significant differences in indications for pacemaker and pacemaker electrode parameters between the two groups. One patient in the elderly group and 4 in the non-elderly group experienced pacemaker-related complications, and there was no significant difference between the two groups. Conclusion Permanent cardiac pacemaker implantation is safe and effective in elderly patients.