摘要
目的:探讨老年冠心病患者冠状动脉内支架术的近期疗效和对远期预后的影响。方法:2000年6月～2002年6月连续240例冠心病患者行选择性冠状动脉内支架术,其中86例年龄>65岁(A组),154例≤65岁(B组),比较两组支架术成功率及远期随访结果。结果:A组中84例支架术成功(97.7％),并发症率9.30％。B组中150例支架术成功(97.4％),并发症率4.55％,两组差异均无显著性(P>0.05)。随访12.5±6.5个月,随访率95.7％。A、B两组的心功能改善(54.7％和51.9％)、心绞痛复发(30.2％和36.4％)、再入院(18.6％和20.1％)、总心脏事件发生率(18.6％和22.7％)及无心脏事件存活率(86.0％和85.1％)均无显著性差异(P>0.05)。结论:老年患者冠状动脉内支架术安全、成功率高,且远期预后良好。
Objective: To assess acute and long-term efficacy of coronary stenting in elderly patients with coronary artery disease. Methods: Two hundred and forty consecutive patients who underwent selective coronary stenting were divided into two groups. Group A included 86 patients aged>65 years and group B comprised 154 patients aged≤65 yeas. Procedural success rate and long-term follow-up results were compared between two groups. Results; Both procedural success rate (97. 7% vs 97. 4%) and complication rate (9. 30% vs 4. 55%) were similar in two groups ( P >0. 05 all). 95. 7% of all patients after coronary stenting were followed up (mean duration was 12. 5±6. 5 months). There were no significant differences in improvement of cardiac function(54. 7% vs 51. 9 %), recurrent angina(30. 2% vs 36. 4%), re-admission (18. 6% vs 20. 1%), cardiac event rates (18. 6% vs 22. 7%) and even survival rate free of cardiac event (86. 0% vs 85. 1%) between two groups (P>0. 05 all). Conclusion; Coronary stenting is equally safe and effective in and younger patients with coronary artery disease.
出处
《心血管康复医学杂志》
CAS
2003年第2期135-138,共4页
Chinese Journal of Cardiovascular Rehabilitation Medicine
