澳门地区老年患者冠状动脉介入治疗术的临床评价.doc

澳门地区老年患者冠状动脉介入治疗术的临床评价
Clinical Analysis of Percutaneous Coronary Intervention in Elderly Patients
with Coronary Artery Disease in Macau
吴宝群邓锡伟李兆文金椿
WU Baoqun, DENG Xiwei, LEI Sioman,JIN Chun
澳门镜湖医院心内科
Department of cardiology, Kiang Wu Hospital Macau
中图分类号:R541 文献标识码:A 文章编号:1818-0086(2008)01
摘要:目的评估澳门地区75岁以上冠心病患者接受冠状动脉介入治疗术(PCI)的安全性和临床疗效。方法对医院自2004年1月至2007年6月共181例年龄≧75岁的冠心病患者临床特点、冠脉病变特点、PCI成功率、手术并发症进行回顾性分析,并与223例<75岁患者作比较。其中3支冠脉病变68例(%),复杂病变274处(%),311处靶病变进行PTCA、支架植入术。结果 %,%,两组比较无显著性差异(P>)。%,48例急性心肌梗塞治疗犯罪血管开通率100%,慢性闭塞病变(CTO)22处,%,170例患者行冠脉支架植入术(%),术前靶血管平均狭窄(±)%,术后平均残余狭窄(±)%。严重并发症5例(%),%,小于75岁病例严重并发症6例(%),%,两组比较无显著性差异(P>)。结论高龄因素对冠心病患者选择性冠状动脉介入治疗术成功率和安全性无显著影响。
关键词:冠心病;冠状动脉介入治疗术;老年
Abstract:Objective To assess the technical ess and safety of percutaneous coronary intervention in patients over 75 years old in Macau. Methods Between January 2004 and June 2007, a total retrospective study of 181 patients aged 75 years or older who were undergone percutaneous coronary pared with patients less than 75 years old in clinical characteristics,characteristics of coronary arteries,essful plications. 68 of whom with triple vessel coronary disease(%).274 of 311 target lesions plex lesions(%). Results Procedural ess rate(% vs %) were no significant different between t