老老年急性冠状动脉综合征49例诊治体会  

A Retrospective Review on Diagnosis and Treatment of 49 Elderly Acute Coronary Syndrome Cases

作　　者：马俊杰[1] 罗贵全 庞璐[1] 

机构地区：[1]遂宁市中心医院心内科,四川遂宁629000

出　　处：《中国医药指南》2012年第22期17-19,共3页Guide of China Medicine

摘　　要：目的观察急性冠状动脉综合征(ACS)老老年与中年患者危险因素、检查结果、心脏结构功能、诊断治疗的不同点。方法选择遂宁市中心医院心血管内科2010年1月至2012年1月住院98例ACS患者,分为老老年组和中青年组,每组49例,比较两组间血脂、高敏C反应蛋白(hsCRP)、血浆氨基末端B型利钠肽前体(NT-proBNP)、心脏结构功能、治疗效果差异。结果 ACS老老年患者,NT-proBNP、hsCRP、心脏结构功能异常高于中年组(P<0.01),而TG水平却低于中年组(P<0.05);容易并发心力衰竭、心律失常及凝血功能异常等并发症(P<0.05)。结论老老年ACS患者NT-proBNP、hsCRP水平高于中年患者;心脏结构及电活动异常多见,并发症多,病死率高。Objective To observe the differences in risk factors,test results,cardiac structure and function,complications,diagnosis and treatments of acute coronary syndrome（ACS） between the elderly population and middle-aged population.Methods From January 2010 to January 2012,98 cases of patients with ACS from department of cardiology at the central hospital of Suining were divided into two groups,the elderly group and the middle-aged group.Each group contained 49 cases.The differences between the two groups were compared,including blood lipids,high-sensitivity C-reactive protein（hsCRP）,plasma N-terminal pro b-type natriuretic peptide（NT-proBNP）,cardiac structure and function and treatment efficacy.Results Comparing to the middle-aged group,the CRP level,NT-proBNP level and the prevalence of cardiac structural/functional abnormalities in the elderly group were relatively higher（P0.05）,while TG levels in the elderly group were relatively lower（P0.01）.The elderly patients with ACS appeared to be susceptible to a variety of complications,such as heart failure,arrhythmia,impaired blood coagulation and others（P0.05）.Conclusion For elderly patients with ACS,their NT-proBNP level and the hsCRP levels were both higher than middle-aged patients;while occurrence of abnormal cardiac structural/functional abnormality was also more prevalent.The elderly patients were more susceptible to the complications,and thus experiencing higher mortality.

关 键 词：老老年 急性冠状动脉综合征 诊断治疗 

分 类 号：R543.3[医药卫生—心血管疾病]