老年冠心病患者药物涂层支架植入术的初步结果观察  

A preliminary observation of drug eluting stents in aged patients with coronary artery disease

作　　者：陈杰 孙华保 李泽林 李庆军 

机构地区：[1]湛江市中心人民医院,广东湛江524037

出　　处：《岭南心血管病杂志》2005年第2期107-109,共3页South China Journal of Cardiovascular Diseases

摘　　要：目的评估老年冠心病患者药物涂层支架的疗效和安全性。方法98例植入药物支架的冠心病患者中,稳定型心绞痛21例、不稳定型29例,心肌梗死48例。冠心病造影示:单支血管病变39例,双支血管病变29例、3支血管病变30例。共处理病变血管138处,置入药物涂层支架116枚。其中左前降支55处,右冠状动脉42处,左回旋支40处,左主干1处。比较A组(≥60岁)和B组(<60岁)的临床特点,冠状动脉病变情况及经皮冠状动脉血管成形术和植入涂层支架的临床疗效。结果A组多支血管病变较之B组增多(P<0.01),两组手术成功率无统计学差异。结论药物涂层支架术安全、有效,成功率高、严重并发症少,也适用于60岁以上患者。Objectives To evaluate the efficacy and safety of drug eluting stents in aged patients with coronary artery disease(CAD). Methods Among 98 patients suffered from stable angina, 29 with unstable angina, 48 with myocardial infarction. Thirty nine patients had single vessel lesion, 29 patients had double vessel lesion and 30 patients had triple vessel lesion. A total of 138 vessel lesions and 116 stents were treated. A total of 55 stents were implanted into LAD, 42 stents into RCA, 40 stents into LCX and 1 stent into LM. The clinical characteristics, therapeutic efficacy, safety of group A (60 years or older of age) and group B (under 60 years of age) were compared. Results The patients in group A had a higher incidence of multivessel lesion than that in group B(P<0.01). There were no significant differences in success rate between two groups. Conclusions PTCA and drug eluting stents can be safely applied in elderly patients with CAD.

关 键 词：药物涂层支架 疗效 冠心病 心绞痛 心肌梗死 

分 类 号：R541.4[医药卫生—心血管疾病]