冠脉介入治疗高龄冠心病心绞痛的临床分析

Clinical Analysis of Coronary Intervention for Angina Pectoris in Elderly Patients with Coronary Heart Disease

目的:探究经皮冠脉介入术(percutaneous coronary intervention,PCI)治疗高龄冠心病心绞痛的临床效果。方法:选取2017年2月-2018年2月高龄冠心病心绞痛患者100例,随机分为对照组(常规治疗)与观察组(对照组基础上给予PCI),各50例,对比两组临床疗效、SAQ评分、生活质量(GQOL-74)及1年内心血管事件发生率。结果:观察组治疗总有效率为98.00%,高于对照组的80.00%(P<0.05)。治疗30 d后,观察组患者的SAQ各项评分均优于对照组(P<0.05)。治疗前,两组患者的GQOL-74评分比较差异无统计学意义(P>0.05);治疗1年后,观察组患者的GQOL-74各项评分均优于对照组(P<0.05)。观察组患者1年内心血管不良事件发生率为10.00%,低于对照组的44.00%(P<0.05)。结论:高龄冠心病心绞痛患者接受PCI治疗的效果显著,对改善生活质量作用明显,有助于预防心血管事件,值得大力推广。

Objective: To explore the clinical efficacy of PCI in the treatment of angina pectoris in elderly patients with coronary heart disease. Method: From February 2017 to February 2018, 100 elderly angina pectoris patients with coronary heart disease were selected and randomly divided into the control group (conventional treatment) and the observation group (given PCI on the basis of the control group), 50 patients in each group. The clinical efficacy, SAQ score, quality of life (GQOL-74) and the incidence of cardiovascular events within 1 year were compared between the two groups. Result: The total effective rate was 98.00% in the observation group, which was significantly higher than 80.00% in the control group (P<0.05). After 1 month of treatment, SAQ scores in the observation group were all better than those in the control group (P<0.05). Before treatment, there were no significant differences of the GQOL-74 scores between the two groups (P>0.05). After 1 year of treatment, the GQOL-74 scores in the observation group were all significantly better than those in the control group (P<0.05). The incidence of cardiovascular adverse events within 1 year was 10.00% in the observation group, which was significantly lower than 44.00% in the control group (P<0.05). Conclusion: PCI treatment for elderly angina pectoris patients with coronary heart disease has a significant effect on improving the quality of life and preventing cardiovascular events, which is worthy of promotion.