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目的探讨老年冠心病合并肾功能不全的临床特征。方法收集2009年3月-2012年12月我院166例老年冠心病患者的临床资料并行回顾性分析,根据患者入院测定的血清肌酐数值及MDRD公式估算肾小球滤过率(eGFR)将患者分为两组:eGFR<60ml/(min·1.73m2)者归为观察组共78例,余88例归为对照组。比较两组患者住院期间心血管事件的发生率。结果观察组急性心肌梗死发生率及心衰发生率显著高于对照组(P<0.05);住院期间死亡率显著高于对照组(P<0.01)。结论老年冠心病合并肾功能不全的患者在急性心肌梗死、心衰等方面发生率高,住院期间死亡率较高。
Objective To investigate the clinical features of elderly patients with coronary heart disease complicated with renal insufficiency. Methods The clinical data of 166 elderly patients with coronary heart disease in our hospital from March 2009 to December 2012 were retrospectively analyzed. The estimated glomerular filtration rate (eGFR) Divided into two groups: eGFR <60ml / (min? 1.73m2) were included in the observation group a total of 78 cases, the remaining 88 cases classified as control group. The incidence of cardiovascular events during the hospital stay was compared between the two groups. Results The incidence of acute myocardial infarction and heart failure in the observation group were significantly higher than those in the control group (P <0.05). The mortality rate during hospitalization was significantly higher than that in the control group (P <0.01). Conclusions Patients with senile coronary heart disease complicated with renal insufficiency have a high incidence of acute myocardial infarction and heart failure, and have a higher mortality rate during hospitalization.