摘要
目的探究冠脉介入治疗老年冠心病心绞痛患者对心血管事件发生率的影响。方法选取2019年3月-2020年2月我院收治的82例老年冠心病心绞痛患者作为研究对象,按照随机数字表法分成观察组(n=41)和对照组(n=41),对照组给予常规药物进行治疗,观察组在对照组的基础上联合冠脉介入术进行治疗,对两组患者的临床疗效、心血管事件发生率、心绞痛评分(SAQ)及并发症发生情况进行比较。结果观察组治疗总有效率为97.56%,对照组为73.17%,观察组治疗总有效率明显高于对照组(P<0.05);观察组心血管事件发生率明显低于对照组(P<0.05);观察组治疗前SAQ评分为(65.86±4.22)分,治疗后SAQ评分为(72.58±6.22)分,对照组治疗前SAQ评分为(65.22±4.31)分,治疗后SAQ评分为(68.33±5.85)分,与治疗前相比,治疗后两组SAQ评分明显提高(P<0.05),与对照组相比,观察组评分明显更高(P<0.05);观察组并发症发生率明显低于对照组(P<0.05)。结论老年冠心病心绞痛患者在保守治疗的基础上采用冠脉介入治疗效果更显著,可减轻老年冠心病心绞痛症状,降低心血管事件的发生率,减少并发症情况的出现。
Objective To explore the effect of coronary intervention on the incidence of cardiovascular events in elderly patients with coronary heart disease and angina pectoris.Methods 82 elderly patients with coronary heart disease and angina pectoris treated in our hospital from March 2019 to February 2020 were randomly divided into observation group(n=41)and control group(n=41).The control group was treated with conventional drugs,and the observation group was treated with coronary intervention on the basis of the control group The incidence of cardiovascular events,angina score(SAQ)and complications were compared.Results The total effective rate was 97.56%in the observation group and 73.17%in the control group.The total effective rate in the observation group was significantly higher than that in the control group(P<0.05);The incidence of cardiovascular events in the observation group was significantly lower than that in the control group(P<0.05);The SAQ score of the observation group was(65.86±4.22)before treatment and(72.58±6.22)after treatment,the SAQ score of the control group was(65.22±4.31)before treatment and(68.33±5.85)after treatment.Compared with before treatment,the SAQ score of the two groups after treatment was significantly improved(P<0.05),and the SAQ score of the observation group was significantly higher than that of the control group(P<0.05);The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Coronary intervention is more effective in elderly patients with coronary heart disease and angina pectoris on the basis of conservative treatment.It can reduce the symptoms of elderly patients with coronary heart disease and angina pectoris,reduce the incidence of cardiovascular events and reduce the occurrence of complications.
作者
李智宁
潘志琼
LI Zhi-ning;PAN Zhi-qiong(Second Department of Cardiology,Maoming people’s Hospital,Maoming,Guangdong 525000;First Department of Cardiology,Maoming people’s Hospital,Maoming,Guangdong 525000)
出处
《智慧健康》
2021年第34期102-104,107,共4页
Smart Healthcare
关键词
冠脉介入
老年冠心病
心绞痛
心绞痛事件
Coronary intervention
Senile coronary heart disease
Angina pectoris
Angina events
