摘要
目的探究血运重建介入治疗治疗高龄老年冠心病的临床治疗效果及远期预后效果。方法方便选择该院2010年1月—2016年1月收治的1 100例高龄老年冠心病患者,根据治疗方法的不同分为对照组和观察组,每组患者550例,比较两组患者临床症状改善情况、治疗效果及1年后心脏不良事件的发生情况。结果对照组患者临床治疗总有效率50.36%,观察组总有效率68.19%,两组患者在治疗总有效率上差异有统计学意义(P<0.05);治疗1年后对照组心血管事件发生率27.82%,观察组发生率13.82%,观察组患者的心血管事件的发生率显著低于对照组,差异具有统计学意义(P<0.05)。结论血运重建介入治疗可有效改善高龄老年冠心病患者的临床症状,活动耐量及心功能,降低心血管不良事件的发生率,有效提高患者的治疗效果,远期预后较好,具有良好的安全性和稳定性,值得在临床上推广应用。
Objective To explore the clinical effect of revascularization intervention and long-term prognosis is very elderly therapy treatment of coronary heart disease. Methods Convenient selection of 1 100 cases of elderly pationts with coronary heart disease in our hospital from January 2010 to January 2016. According to the different methods of treatment, divided into control group and observation group, 550 patients in each group, compared the two groups of patients with clinical symptoms improved, Treatment and 1 year after the occurrence of adverse cardiac events. Results The clinical treatment of patients in the control group the total efficiency of 50.36%, in the observation group total effective rate 68.19%, the two groups of patients in the total treatment there was a significant difference（P〈0.05） on efficiency, with statistical significance; after 1 year of treatment control group cardiovascular event rate 27.82%, 13.82% rate of the observation group, the incidence of cardiovascular events in the observation group were significantly lower than the control group, with statistical significance（P〈0.05）. Conclusion Interventional revascularization therapy can effectively improve the clinical symptoms of very elderly patients with coronary heart disease, activity tolerance and cardiac function, reduce the incidence of cardiovascular events, improve patient outcomes, long-term prognosis is good, with good security and stability, worthy of clinical application.
出处
《中外医疗》
2016年第34期99-101,共3页
China & Foreign Medical Treatment
关键词
血运重建
高龄老年
冠心病
治疗效果
Revascularization
Very elderly
Coronary heart disease
Treatment
