摘要
目的：评价老年高龄（≥75岁）冠心病患者经冠状动脉介入治疗（PCI）的长期预后。方法：随机抽取行 PCI（PTCA ／PTCA ＋支架术）共45例，未行 PCI（PTCA ／PTCA ＋支架术）有明确心肌梗死病史，临床确诊急性心梗或冠状动脉造影（CAG）确诊共45例。将上述两组各分为心绞痛和心肌梗死亚组（包括急性心肌梗死和陈旧性心肌梗死），心绞痛亚组在再发心绞痛（48％vs．31％ P ＜0．005），心力哀竭（25％vs．46％ P ＜0．05）相比有显著统计学意义。心肌梗死亚组在再发心绞痛（50％vs．22％ P ＜0．005）和心肌梗死（0vs．1％P ＜0．05），心力衰竭（25％vs．69％ P ＜0．05）相比有显著统计学意义。结论：老年高龄冠心病患者行 PCI（PTCA ／PTCA ＋支架术）组长期预后好于未行 PCI（PTCA ／PTCA ＋支架术）组。
Abstract
Objective:To evaluate the old age (75 years)or coronary heart disease after coronary intervention (PCI)in patients with long -term prognosis.Methods:randomly selected rows PCI (PTCA /PTCA +stent),a total of 45 cases,no PCI (PTCA /PTCA +stent)have a clear history of myocardial infarction,clinical diagnosis of acute myocardial infarction or coronary angiography (the CAG)confirmed a total of 45 cases.Wil be divided into the two groups (angina and myocardial infarction group (including acute myocardial infarction and chronic myocardial infarction),angina subgroup in the recurrence of angina (48% vs.31%,P <0.005),the dragon's heart cry (25% vs.46%,P <0.05)compared with significant statistical significance. Myocardial infarction subgroup in the recurrence of angina (50% vs.22%,P <0.005)and myocardial infarction (0 vs.1%,P <0.05),heart failure (25% vs.69%,P <0.05)com-pared with significant statistical significance.Conclusion:the senile coronary heart disease (CHD)patients with PCI group (PTCA /PTCA +stent)long -term prognosis is bet er than no PCI (PTCA /PTCA +stent)group.
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NSTL
维普
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