老年患者冠心病治疗的研究进展

Research Progress of Treatment of Coronary Heart Disease in Elderly Patients

冠心病严重威胁中老年人身体健康。根据发病特点和治疗原则不同,冠心病主要分为急性冠状动脉综合征和慢性心肌缺血综合征两大类。目前临床上主要通过二级预防、改善症状,降低患者心血管不良事件发生风险,提高患者生活质量。冠心病的治疗主要包括内科治疗和外科治疗,内科治疗主要应用抗血小板药、抗凝药、抗心肌缺血等药物,外科治疗包括经皮冠状动脉介入术和冠状动脉旁路移植术。近年来,冠心病一级预防、介入治疗围手术期抗凝以及溶栓治疗的规范性不断更新,冠心病患者经系统性治疗后病情均得到良好控制。未来外科与内科联合治疗将是改善患者预后的趋势。

Coronary heart disease seriously threatens the health of middle-aged and elderly people.Coronary heart disease is mainly divided into two categories,acute coronary syndrome and chronic myocardial ischemic syndrome,according to the characteristics of disease and the different diagnosis and treatment.At present,clinically,secondary prevention and symptom improvement are mainly used to reduce the risk of adverse cardiovascular events in the patients and improve the quality of life.The treatment of coronary heart disease mainly includes internal medical treatment and surgical treatment.The former includes antiplatelet drugs,anticoagulants,and anti-myocardial ischemia drugs.The latter includes percutaneous coronary intervention and coronary artery bypass graft surgery.In recent years,the standardization of primary prevention of coronary heart disease,perioperative anticoagulation and thrombolytic therapy of interventional therapy has been continuously updated,and the patient′s condition can be well controlled after systemic treatment.In the future,the combination of surgery and internal medicine will be the trend of improving the prognosis.