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年龄对冠心病患者PCI术后长期效果的影响 被引量：4

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摘要 目的了解年龄对冠心病患者在冠脉介入治疗(PCI)后长期临床效果的影响。方法接受PCI治疗的患者584例,按年龄是否达到60岁分为老年组和非老年组:老年组315例,非老年组269例。收集一般临床资料及冠脉病变情况并进行长期临床随访(3～49个月),详细记录临床主要不良事件的发生情况。结果与非老年患者相比,老年组有更多的女性患者(29.84%vs10.41%,P<0.01),合并高血压较多(59.37%vs49.07%,P<0.05),以急性冠脉综合征为表现的较多(72.1%vs57.25%,P<0.01),但其冠脉较小〔(2.97±0.36)mmvs(3.06±0.36)mm,P<0.01〕,但吸烟较少(36.51%对69.89%,P<0.01)。两组患者的临床主要不良事件的发生情况无显著差异,但老年组全因性死亡(3.49%vs1.12%,P=0.061)及心因性死亡有增高趋势(2.86%vs0.74%,P=0.061)。经过校正不匹配的基线因素后的偏相关分析显示,老年与全因性死亡(r=0.0789,P=0.061)及心因性死亡(r=0.0751,P=0.074)呈正相关趋势,而年龄与之呈显著的正相关(r=0.0983,P=0.019及r=0.0896,P=0.033)。结论老年患者在PCI治疗后的长期临床预后较好,因此PCI治疗老年患者安全有效。
作者 杨宏辉 朱中玉 高传玉 陈岩 牛振民 黄克钧 刘煜昊 李牧尉
机构地区 河南省人民医院心内科
出处 《中国老年学杂志》 CAS CSCD 北大核心 2010年第14期1955-1957,共3页 Chinese Journal of Gerontology
关键词 冠心病 PCI 年龄
分类号 R541.4 [医药卫生—心血管疾病]
  • 相关文献

参考文献8

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二级参考文献13

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共引文献6

同被引文献51

引证文献4

二级引证文献22

中国老年学杂志
2010年 第14期

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