PCI治疗高龄冠心病心绞痛患者的临床价值分析

Analysis of the clinical value of PCI in the treatment of elderly patients with angina pectoris of coronary heart disease

目的分析高龄冠心病心绞痛患者应用经皮冠状动脉介入术(PCI)治疗的临床价值。方法400例高龄冠心病心绞痛患者,按照治疗方法的不同分为常规组和介入组,每组200例。常规组给予个性化的常规基础药物治疗,介入组给予PCI治疗。比较两组患者治疗效果、心血管事件发生率、并发症发生率以及治疗满意度。结果介入组治疗总有效率90.0%高于常规组的59.0%,差异具有统计学意义(P<0.05)。介入组心血管事件发生率5.5%及并发症发生率8.5%均低于常规组的19.5%、27.5%,差异具有统计学意义(P<0.05)。介入组治疗总满意度95.0%高于常规组的77.0%,差异具有统计学意义(P<0.05)。结论高龄冠心病心绞痛者应用PCI治疗具有显著的临床疗效,同时能较好的改善患者的生存质量,减少心血管事件发生率和并发症发生率,具有良好的临床治疗安全性,预后效果较好。

Objective To analyze the clinical value of percutaneous coronary intervention(PCI)in the treatment of elderly patients with angina pectoris of coronary heart disease.Methods A total of 400 elderly patients with angina pectoris of coronary heart disease were divided into conventional group and intervention group according to different treatment methods,with 200 cases in each group.The conventional group was treated with individualized conventional drug therapy,and the intervention group was treated with PCI.The therapeutic effect,incidence of cardiovascular events,complication rate and treatment satisfaction were compared between the two groups.Results The total effective rate of intervention group was 90.0%,which was higher than 59.0%of conventional group,and the difference was statistically significant(P<0.05).The incidence of cardiovascular events and complication rate in the intervention group were 5.5%and 8.5%,which were lower than 19.5%and 27.5%in the conventional group,and the differences were statistically significant(P<0.05).The total satisfaction rate in the intervention group was 95.0%,which was higher than 77.0%in the conventional group,and the difference was statistically significant(P<0.05).Conclusion The application of PCI has a significant clinical effect in elderly patients with angina pectoris of coronary heart disease,which can better improve the quality of life of patients,reduce the incidence of cardiovascular events and complication rate,and has good clinical safety and prognosis.