老年冠心病患者冠状动脉慢性完全闭塞病变介入治疗回顾性分析  

Retrospective Analysis of Interventional Treatment of Elderly Patients with Chronic Total Occlusion of Coronary Artery

作　　者：王格社[1] 唐方明[1] 刘杲 

机构地区：[1]广东省农垦中心医院心内科,广东湛江524000 [2]咸阳市中心医院

出　　处：《沈阳医学院学报》2016年第6期447-450,共4页Journal of Shenyang Medical College

摘　　要：目的:探讨老年冠心病患者冠状动脉慢性完全闭塞病变特点及介入治疗效果。方法:根据年龄将2012年2月至2016年3月行冠状动脉慢性完全闭塞病变介入治疗的146例冠心病患者分为老年组和中青年组,对比分析2组冠心病患者冠状动脉慢性完全闭塞病变特点和介入治疗后的预后情况。结果:老年组存在冠心病家族史的比例显著低于中青年组(P<0.05),闭塞血管钙化或迂曲的发生率和介入手术时间显著高于中青年组(P<0.05);介入治疗后老年组左心室舒张末期内径(LVEDD)显著低于中青年组(P<0.05),而左心室射血分数(LVEF)、室壁瘤和室壁运动异常发生率差异均无统计学意义(P>0.05)。结论:老年冠心病患者冠状动脉慢性完全闭塞易发生血管钙化或迂曲,介入治疗花费时间长,手术成功率和不良心血管事件发生与中青年无差异,但术后老年冠心病患者心功能改善较为明显。Objective：To explore characteristics and interventional treatment of the elderly patients with chronic total occlusion of coronary artery. Methods：According to the age,146 cases of coronary heart disease received interventional treatment of chronic total occlusion from Feb 2012 to Mar 2016 were divided into elderly group and youth group. Comparative analysis of characteristics and prognosis between the two groups was done. Results：The proportion of family history of coronary heart disease in elderly group was significantly lower than that in the young group （P〈0.05）, the incidence rate of occlusive vascular calcification or tortuosity and surgical intervention time were significantly higher than those in the young group （P〈0.05） . After interventional treatment, LVEDD in elderly group was significantly lower than that in the young group （P〈0.05）,and LVEF,left ventricular aneurysm and wall motion abnormality rate had no significant differences （P〉0.05） . Conclusions：Elderly patients with chronic total occlusion of coronary artery prone to calcification or tortuosity, interventional treatment takes a long time, success rate and adverse cardiovascular events had no difference compared with the young, postoperative cardiac function of elderly patients improved more obviously.

关 键 词：冠心病 慢性完全闭塞病变 介入治疗 

分 类 号：R542.22[医药卫生—心血管疾病]