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目的探讨急诊经皮冠状动脉介入治疗(PCI)对老年急性心肌梗死(AMI)的疗效和安全性。方法采用回顾性分析方法 ,将228例行急诊PCI的AMI患者分为老年组(n=116例)和非老年组(n=112例),分别对两组的临床特征、住院时间和并发症发生率进行比较。结果两组患者平均住院时间非老年组明显短于老年组(P<0.01);入院到球囊扩张平均时间两组间无显著性差异(P>0.05),老年组置入2个以上支架数、住院期间二次PCI和梗死后心绞痛明显高于非老年组(P<0.01),再梗死两组间无显著性差异(P>0.05),老年组严重心律失常和泵功能KillipⅢ级以上明显多于非老年组血(P<0.01),但两组间心源性休克的发生率和30d死亡率无显著性差异(P>0.05)。结论老年AMI行急诊PCI治疗并发症高于非老年患者,但并不增加近期死亡率。
Objective To investigate the efficacy and safety of emergency percutaneous coronary intervention (PCI) in elderly patients with acute myocardial infarction (AMI). Methods A retrospective analysis was performed to divide 228 AMI patients who underwent emergency PCI into the elderly group (n = 116) and the non-elderly group (n = 112). The clinical characteristics, length of hospital stay and complications The incidence is compared. Results The average length of hospital stay in the two groups was significantly shorter than that in the elderly group (P <0.01). There was no significant difference between the two groups in the mean time from admission to balloon dilation (P> 0.05) (P <0.01). There was no significant difference between the two groups in re-infarction (P> 0.05). Serious arrhythmia in the elderly group and KillipⅢlevel of pump function were significantly higher (P <0.01). However, there was no significant difference in the incidence of cardiogenic shock and 30-day mortality between the two groups (P> 0.05). Conclusions Elderly AMI patients with acute PCI have higher complications than non-elderly patients, but do not increase the recent mortality rate.