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目的 探讨经皮冠状动脉介入治疗老年冠心病患者的临床疗效,为临床提供依据.方法 选择长治医学院附属和济医院2015年10月至2016年11月收治的接受经皮冠状动脉介入治疗的老年冠心病患者52例(老年组)以及同期接受经皮冠状动脉介入治疗的青中年冠心病患者52例(青中年组)为观察对象,均采用经皮冠状动脉介入治疗,比较两组手术成功率、并发症发生率、不良心脏事件发生率、冠状病变部位数及支架植入数.结果 老年组手术成功率为92.31%,青中年组为94.23%,两组差异无统计学意义( P＞0.05);老年组并发症发生率为13.46%,青中年组为9.62%,两组差异无统计学意义(P＞0.05);老年组不良心脏事件发生率为5.77%,青中年组为3.85%,两组差异无统计学意义(P＞0.05);老年组冠状病变部位数、支架植入数分别为(2.52 ±0.72)处、(61.35 ±2.11)个,青中年组分别为(2.36 ±0.57)处、(60.24 ±3.58)个,两组差异均无统计学意义(均P＞0.05).结论 经皮冠状动脉介入治疗老年冠心病患者切实可行,具有较高的手术成功率,并发症及不良心脏事件均较少.

Objective To investigate the clinical curative effect of percutaneous coronary intervention in the treatment of elderly patients with coronary heart disease ,thus to provide the basis for clinical treatment .Methods Fifty－two elderly patients with coronary heart disease who were treated by percutaneous coronary intervention in Heji Hospital Affiliated to Changzhi Medical College were selected as elderly group , and 52 young and middle －aged patients with coronary heart disease who were treated by percutaneous coronary intervention were selected as young and middle－aged group.The surgical success rate,incidence rate of complication,incidence rate of adverse cardiac events,coronary lesion number and stent implantation were compared between the two groups .Results The success rate of surgery in the elderly group was 92.31%,which in the young and middle －aged group was 94.23%,there was no statistically significant difference between the two groups (P＞0.05).The incidence rate of complication in the elderly group was 13.46%,which in the young and middle －aged group was 9.62%,there was no statistically signifi－cant difference between the two groups (P＞0.05).The incidence rate of cardiovascular events in the elderly group was 5.77%,which in the young and middle －aged group was 3.85%,there was no statistically significant difference between the two groups(P＞0.05).The number of coronary lesions and stent implantation in the elderly group were (2.52 ±0.72),(61.35 ±2.11),respectively,those in the young and middle －aged group were (2.36 ±0.57), (60.24 ±3.58),respectively,the differences between the two groups were no statistically significant (all P＞0.05). Conclusion Percutaneous coronary intervention in the treatment of elderly patients with coronary heart disease is feasible and has high success rate of surgery ,the complications and adverse cardiac events are less .