高龄急性心肌梗死行即时经皮冠状动脉介入治疗的疗效  

Effect of Immediate Percutaneous Coronary Interventional Therapy for Acute Myocardial Infarction in Elderly Patients

作　　者：李留阳 苗文涛[1] LI Liu-yang;MIAO Wen-tao(The Second Affiliated Hospital of Henan University of Science and Technology,Henan Luoyang 471000)

机构地区：[1]河南科技大学第二附属医院,河南洛阳471000

出　　处：《深圳中西医结合杂志》2022年第7期15-18,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:分析高龄急性心肌梗死(AMI)行即时经皮冠状动脉介入术(PCI)治疗的疗效。方法:选取2020年8月至2021年3月期间于河南科技大学第二附属医院治疗的70例高龄AMI患者,依据行PCI的时间分为对照组33例与观察组37例。对照组行择期PCI,观察组行即时PCI,比较两组治疗前、治疗后30 d、6个月超声指标〔左室射血分数(LVEF)、左心室舒张末期内径(LVEDD)、左心室收缩末期容积(LVESV)、左心室舒张末期容积(LVEDV)〕及不良事件(死亡、心绞痛、再发急性心肌梗死、再次血运重建)发生率。结果:观察组LVEF治疗后30 d、6个月均高于对照组,LVEDD、LVESV及LVEDV均低于对照组(P<0.05);观察组治疗后30 d不良事件发生率为10.81%,低于对照组的21.21%,差异无统计学意义(P>0.05);观察组治疗后6个月不良事件发生率为16.22%,低于对照组的39.39%,差异具有统计学意义(P<0.05)。结论:高龄急性AMI患者采用即时PCI治疗,可明显改善心肌血流循环,改善其心功能,降低不良事件发生率。Objective To analyze the curative effect of immediate percutaneous coronary intervention(PCI) in elderly patients with acute myocardial infarction(AMI). Methods 70 elderly AMI patients treated in the Second Affiliated Hospital of Henan University of Science and Technology from August 2020 to March 2021 were selected and divided into a control group with 33 cases and an observation group with 37 cases according to the time of PCI. The control group received elective PCI, the observation group received immediate PCI, the ultrasound indicators [left ventricular ejection fraction(LVEF), left ventricular end-diastolic diameter(LVEDD), left ventricular end-systolic volume(LVESV), left ventricular end-diastolic volume(LVEDV)] before treatment, 30 days and 6 months after treatment were compared between the two groups. And incidence of adverse events(death, angina, recurrent acute myocardial infarction, revascularization). Results LVEF in the observation group was higher than that of the control group at 30 days and 6 months after treatment, and LVEDD, LVESV and LVEDV were lower than those of the control group(P < 0.05).The incidence of adverse events was 10.81% in the observation group 30 days after treatment, which was lower than 21.21% in the control group, and the difference was not statistically significant(P > 0.05). The incidence of adverse events 6 months after treatment in the observation group was 16.22%, lower than 39.39% in the control group, and the difference was statistically significant(P < 0.05).Conclusion The elderly patients with acute AMI, immediate PCI can significantly improve myocardial blood circulation, improve cardiac function and reduce the incidence of adverse events.

关 键 词：急性心肌梗死 经皮冠状动脉介入术 老年人 

分 类 号：R542.22[医药卫生—心血管疾病]