摘要
目的 :探讨不同年龄段急性心肌梗死患者介入治疗的预后。方法 :选取行介入治疗的急性心肌梗死患者120例,按照不同年龄段分为中青年组(<60岁)和老年组(≥60岁)各60例,对其预后进行回顾性分析。结果 :两组患者介入治疗前梗死相关动脉(前降支、回旋支、右冠状动脉)分布比较,差异无统计学意义。老年组患者多支冠脉病变发生率明显高于中青年组患者,差异具有统计学意义。中青年组手术并发症,住院天数及心功能恢复情况均优于老年组,差异具有统计学意义;中青年组住院期间心血管事件发生率与老年组比较,差异无统计学意义。中青年组术后1年MACE发生率明显低于老年组,差异具有统计学意义;中青年组病死率和老年组比较,差异无统计学意义。结论 :年龄是影响急性心肌梗死介入治疗预后的危险因素,中青年急性心肌梗死患者预后优于老年急性心肌梗死患者。对于老年急性心肌梗死患者应及时进行介入治疗,采取有效治疗措施,同样也能有利于预后恢复。
Objective To study the prognosis of patients with myocardial infarction after interventional therapy in different age groups. Methods 120 patients with acute myocardial infarction were taken interventional therapy, then according to differ-ent age groups were divided into young and middle-aged group(<60 years)and aged group(≥60years). Each group were 60 cas-es, the prognosis were retrospectively analyzed. Results There was no significant difference in the distribution of infarct related artery(anterior descending branch, right coronary artery and right coronary artery)between the two groups, and the difference was not statistically significant. The incidence of coronary artery disease in the elderly group was significantly higher than that in the young and middle-aged group, and the difference was statistically significant. In the young and middle-aged group, the surgi-cal complications, hospitalization days and heart function recovery were better than the aged group, the difference has statistical significance. There was no significant difference in the incidence of cardiovascular events between the young and middle-aged group and the aged group. The incidence of MACE in young and middle-aged group was significantly lower than that in the aged group, the difference was statistically significant;there was no significant difference in the mortality rate between the young and middle-aged group and the aged group. Conclusion Age is a risk factor for the prognosis of acute myocardial infarction, and the prognosis of acute myocardial infarction in young patients is better than that of acute myocardial in infarction Middle-aged and old. For aged patients with acute myocardial infarction should be timely intervention treatment and take effective treatment measures, also can be conducive to the recovery of prognosis.
出处
《湖南师范大学学报(医学版)》
2016年第5期-,共4页
Journal of Hunan Normal University(Medical Sciences)
关键词
不同年龄段
急性心肌梗死
介入治疗
预后
different ages
acute myocardial infarction
interventional therapy
prognosis