老年冠心病患者PTCA及支架术的临床疗效

Clinical Efficacy of PTCA And/or Stenting in Aged Patients with Coronary Artery Disease

目的 :评价老年冠心病患者PTCA及支架术的安全性、临床疗效。方法 :回顾分析我院冠心病 (CHD)年龄≥6 5岁 5 3例 (老年组 )和年龄 <6 5岁 2 8例 (非老年组 )PTCA和 /或支架术的临床病灶特点、手术成功率、手术并发症及近中期临床疗效。结果 :老年组行PTCA和或支架植入术的总成功率与非老年组比较差异无显著性 (93.4 %vs97.1% ,P >0 .0 5 ) ;老年组死亡率 (1.88% )与非老年组死亡率 (0 )比较差异无显著性 (P >0 .0 5 ) ,两组间冠状动脉、外周血管并发症无明显差异 ;老年组冠脉病变较非老年组重 ,支架植入率高于非老年组 (0 .6 5VS 0 .4 3)。随访 6～12月 ,两组间恶性心脏事件发生率无明显差异。结论 :老年冠心病患者行PTCA及支架术是安全的 ,其手术成功率、围手术期死亡率、并发症及近中期疗效与非老年患者比较无差异。

Objective:To evaluate the safety and clinical efficacy of percutanous transluminal coronary angioplasty(PTCA) and/or stenting in elderly patients with coronary artery disease. Methods:Fifty-three patients aged ≥65 years(elderly group)who underwent PTCA and /or stenting were compared with 28 patients aged <65 years(non elderly group)in lesion characteristics of coronary artery,successful rates,severe complications and the follow up results.Results:Comparing the technical success rates of PTCA and/or stenting and the in hospital death rate (93.4% and 1.88% in the elderly group vs 97.1% and 0 in the non elderly group),it showed no significant difference ( P >0.05) and complication occurrences in coronary artery and peripheral arteries between two groups did not also. Because the lesion of coronary artery of the elderly group were more severe than that of the non elderly, tenting rate of the elderly group was higher than that of the non elderly.The occurrences of severe heart attack had not signicant difference between two group during 6～12 moths of the follow up. Conclusion: PTCA and/or stenting would be a safe and effective manager for elderly patients.