摘要
目的评价老年急性冠脉综合征(ACS)患者在主动脉内球囊反搏(IABP)辅助下进行介入治疗的临床疗效及安全性。方法回顾性分析160例ACS患者在IABP辅助下行介入治疗的临床资料,按年龄分为两组:中青年组(年龄<60岁)58例,老年组(年龄≥60岁)102例。对两组的手术成功率、住院期间不良事件及IABP相关并发症进行对比分析。结果两组手术成功率分别为98.3%,97.1%;院内存活率分别为89.7%,83.3%;IABP相关并发症发生率分别为3.4%,5.9%。上述差异均无统计学意义(P>0.05)。结论IABP辅助介入治疗老年ACS患者具有与中青年ACS患者应用时相似的临床疗效及安全性。
Objective To evaluate the therapeutic efficacy and safety of intra-aortic balloon pump （IABP） in elderly patients with acute coronary syndrome（ACS） during the percutaneous coronary intervention（PCI）. Methods A retrospective analysis was conducted in 160 patients with ACS who underwent implantation of IABP via femoral artery during PCI. The patients were divided into two groups in terms of age： middle age and young group （under 60 years of age） included 58 cases,elderly group （60 years or older）102 cases. The successful rate of PCI procedure,the complications of IABP and the inhospital survival rate were summarized. Results Under the support of IABP , 160 patients with ACS underwent PCI. The successful rates of PCI procedure of the two groups were 98.3% and 97.1% （P〉0.05）. The inhospital survival rates were 89.7% and 83.3% （P〉0.05）. The complication rates with IABP were 3.4% and 5.9% （P〉0.05）. There were no statistical difference in these respects between the two groups. Conclusions The clinical therapeutic efficacy and safety of IABP during the PCI in elderly patients with ACS are similiar to those in the middle age and young group.
出处
《中华老年多器官疾病杂志》
2007年第6期399-402,406,共5页
Chinese Journal of Multiple Organ Diseases in the Elderly
