老年冠心病患者行冠脉内支架植入术临床分析  

Clinical value of coronary stenting in elderly patients with coronary heart disease

作　　者：张源明[1] 杨坤河[1] 田文庆[1] 黄定[1] 

机构地区：[1]新疆医科大学第一附属医院心内科,新疆乌鲁木齐830054

出　　处：《新疆医科大学学报》2003年第4期348-349,共2页Journal of Xinjiang Medical University

摘　　要：目的 :评价 70岁以上老年冠心病患者行冠状动脉内支架置入术的临床应用。方法:对 2 3例 70岁以上(高龄组 )和 31例 5 0～ 6 0岁 (对照组 )冠状动脉内置入支架的冠心病患者进行比较。结果 :老年冠心病患者多存在多支弥漫性严重冠状动脉粥样硬化 ,病变复杂 ,手术难度大 ,置入术成功率为 95 .7%。随访 3～ 38( 2 2± 13)个月 ,心绞痛再发率为 17.4 % ,与对照组比较差异无统计学意义 ( P >0 .0 5 )。患者住院期间病死率为 4 .3%。结论 :老年患者冠状动脉支架置入术的近期与远期效果满意 ,是冠状动脉血管重建术安全而有效的方法 。Objective: The aim of this study was to evaluate the clinical significance of coronary stenting in patients above 70 years old with coronary heart disease. Methods: 23 cases of coronary heart disease undergoing PTCA and stenting. The results of coronary stenting (12 with acute myocardial infarction) were analyzed and compared them with 31 patients aged from. 50 to 60 years old. Results: Multivascular, diffuse and severe atherosclerosis was found to be common in elderly patients, especially with diabetes, and the lesions were more complex, and the procedures were difficult. The clinical success rate of coronary stenting for elderly group was 95.7%, and the fatality was 4.3% during hospitalization. The reanginal rate during 3～38(22±11) months follow up was of 17.4%; no significant difference in the success and reanginal rate was observed between the two groups. Conclusion: PTCA and stenting for the elderly patients is feasible. Our data suggest that PTCA and stenting can be safely and effectivly performed in the elderly patients and stenting is the better method for elderly patients than medical treatment.

关 键 词：老年 冠状动脉疾病 支架 

分 类 号：R654.2[医药卫生—外科学]