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目的观察经皮冠状动脉介入术(PCI)治疗高龄急性心肌梗死患者的临床效果。方法选取2014年5月—2016年5月宿州市人民医院收治的急性心肌梗死患者80例,根据年龄分为老年组(60~74岁)和高龄组(75~84岁),每组40例。两组患者入院后均行PCI,比较两组患者临床效果指标(血管造影成功率、介入治疗成功率、临床成功率)、发病至球囊扩张时间、住院时间、并发症发生率、主要不良心血管事件发生率。结果两组患者血管造影成功率、介入治疗成功率、临床成功率比较,差异无统计学意义(P>0.05)。两组患者发病至球囊扩张时间、住院时间比较,差异无统计学意义(P>0.05)。两组患者并发症发生率、主要心血管事件发生率比较,差异无统计学意义(P>0.05)。结论 PCI治疗高龄急性心肌梗死患者的临床效果确切,安全性较高。
Objective To observe the clinical effect of percutaneous coronary intervention (PCI) in elderly patients with acute myocardial infarction. Methods Eighty patients with acute myocardial infarction who were admitted to Suzhou People’s Hospital from May 2014 to May 2016 were divided into the elderly group (60-74 years) and the elderly group (75-84 years) according to the age, 40 cases in each group . After PCI, the two groups were compared in terms of clinical efficacy (success rate of angiography, success rate of interventional therapy, clinical success rate), time from onset to balloon dilation, length of hospital stay, complication rate and major adverse cardiac events The incidence of vascular events. Results The success rates of angiography, success rate of interventional therapy and clinical success rate in the two groups were not statistically different (P> 0.05). There was no significant difference between the two groups (P> 0.05). There was no significant difference between the two groups in complication rate and the incidence of major cardiovascular events (P> 0.05). Conclusion The clinical effect of PCI in elderly patients with acute myocardial infarction is accurate and safe.