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目的评价高龄患者行冠脉介入治疗(PCI)的安全性和有效性。方法分析194例行PCI术的冠心病患者,按年龄分为高龄组(≥75岁96例)和非高龄组(<75岁98例),对两组基础临床资料、介入治疗特征、住院期间及PCI术后12个月随访结果进行分析。结果高龄患者易患因素多,冠脉病变相对复杂,住院期间主要不良心脏事件(MACE)增加,P<0.05,但手术成功率及12月随访结果两组无显著性差异,P>0.05。结论对有选择的高龄患者行PCI术是安全有效的。
Objective To evaluate the safety and efficacy of percutaneous coronary intervention (PCI) in elderly patients. Methods One hundred and ninety-four patients with coronary artery disease undergoing PCI were divided into two groups according to age: elderly group (≥75 years old, 96 cases) and non-elderly group (≤75 years old, 98 cases). The clinical data, interventional treatment characteristics, And 12 months after PCI follow-up results were analyzed. Results There were many predisposed factors in elderly patients, the coronary lesions were relatively complex, and the major adverse cardiac events (MACE) during hospitalization were increased (P <0.05). However, there was no significant difference between the two groups in the success rate of operation and in follow-up at 12 months. Conclusions PCI is safe and effective in elderly patients with selected age.