老年冠心病冠状动脉介入治疗中分别接受急诊治疗与择期治疗的有效性对比研究

A Comparative Study on the Effectiveness of Emergency Treatment and Elective Treatment in Elderly Coronary Heart Disease Arterial Interventional Therapy

目的研究老年冠心病冠状动脉介入治疗中分别接受急诊治疗与择期治疗的有效性对比研究。方法于2017年11月—2021年8月方便选取该院接收的110例冠心病老年患者,依据治疗方案不同进行对等分组,将冠状动脉介入急诊治疗的55例作为A组,将接受择期介入治疗的55例作为B组。手术后,总结分析组间治疗效果。结果术后,B组的技术成功率为85.45%低于A组的98.18%,差异有统计学意义(χ^(2)=4.356,P<0.05);B组临床成功率85.45%与A组的81.82%相比,差异无统计学意义(χ^(2)=0.266,P>0.05);B组的完全血运重建率为36.36%、置入支架数(1.81±0.82)枚及管腔狭窄率(17.17±6.47)%与A组的41.82%、(1.77±0.79)枚及(16.95±6.42)%对比,差异无统计学意义(χ^(2)=0.343,t=0.260、0.179,P>0.05);B组术后出血发生率为3.64%、心源性死亡发生率为1.81%相较于A组的18.18%、14.55%均明显更低,差异有统计学意义(χ^(2)=5.986、4.356,P<0.05)。结论老年冠心病患者接受急诊介入与择期介入治疗均可取得确切疗效,但择期介入治疗并发症更少,心脑血管不良事件发生风险更低,安全性更高,临床应用价值更高。

Objective To study the efficacy of emergency treatment and elective treatment in elderly patients with coronary heart disease undergoing arterial interventional therapy.Methods 110 patients with coronary heart disease received by the hospital from November 2017 to August 2021 were conveniently selected and divided into equal groups according to different treatment plans.The 55 patients who received emergency coronary intervention therapy were set as group A,and the 55 patients who received elective interventional therapy were set as group B.After surgery,the treatment effect between groups was summarized and analyzed.Results After operation,the technical success rate of group B was 85.45%lower than 98.18%of group A,and the difference was statistically significant(χ^(2)=4.356,P<0.05).There was no statistically significant difference in the clinical success rate of 85.45%in group B and 81.82%in group A(χ^(2)=0.266,P>0.05).The complete revascularization rate was 36.36%,the number of stents placed(1.81±0.82)and the lumen stenosis rate(17.17±6.47)%of group B were compared with group A 41.81%,(1.77±0.79)and(16.95±6.42)%,and the difference was not statistically significant(χ^(2)=0.343,t=0.260,0.179,P>0.05).The incidence of postoperative bleeding in group B was 3.64%,and the incidence of cardiac death was 1.81%,which were significantly lower than those in group A,which were 18.18%and 14.55%,and the difference was statistically significant(χ^(2)=5.986,4.356,P<0.05).Conclusion Elderly patients with coronary heart disease who receive emergency intervention and elective intervention can achieve definite curative effect,but elective intervention has fewer complications,lower risk of cardiovascular and cerebrovascular adverse events,higher safety,and higher clinical application value.