老年人共病与非ST段抬高型急性冠脉综合征研究进展

Older Adults with Comorbidity and Non-ST-Segment Elevation Acute Coronary Syndrome

中国的人口已逐渐步入老龄化,年龄的增长增加了非ST段抬高型急性冠脉综合征(NSTE-ACS)的共病负担。共病导致治疗困难、药物使用增加、死亡率增加、疾病负担加重,严重影响了患者的生活质量。在临床随机试验中,共病患者的代表性不足。老年人共病合并NSTE-ACS的最佳管理仍存在争议。现对老年人共病的概念、共病流行病学、共病的评估以及老年人共病对NSTE-ACS的影响进行综述。

China's population has gradually entered the aging stage,and the increasing age increases the comorbidity burden of non-ST-segment elevation acute coronary syndrome(NSTE-ACS).Comorbidity leads to difficult treatment,increased drug use,increased mortality and increased disease burden,which seriously affects the quality of life of patients.In clinical randomized trials,the representation of comorbidity patients is insufficient.The optimal management of elderly comorbidities with NSTE-ACS remains controversial.This paper reviews the concept of older adults with comorbidity,the epidemiology of comorbidity,the evaluation of comorbidity,and the impact of older adults with comorbidity on NSTE-ACS.