高龄患者冠状动脉内支架置入的临床评价Clinical value of coronary stenting in elderly patients
旅朝霞,方唯一,周旭晨,郑晓群,黄伟
摘要(Abstract)：
目的 研究70岁以上冠状动脉内支架置入术的临床价值。方法 对31例（14例急性心肌梗死）≥70岁和36例50～60岁冠状动脉内置入支架的冠心病患者进行比较。结果 高龄组支架置入术成功率为96.8％,随访3～44（21±14）个月,心绞痛再发率23％,与对照组比较差异无显著性;14例高龄心肌梗死患者急性期冠状动脉内置入支架无一例死亡。结论 高龄患者冠状动脉内支架置入即刻与远期临床效果满意,是冠状动脉血管重建术安全而有效的方法。
关键词(KeyWords)： 老年;冠状动脉疾病;支架
基金项目(Foundation):
作者(Author): 旅朝霞,方唯一,周旭晨,郑晓群,黄伟
参考文献(References)：
- 1 Bonnier H,Vries Cde, Michels R,et al. Initial and long-term results ofcoronary angioplasty and coronary bypass surgery in patients of 75 orolder. Br Heart J, 1993,70:122-125.
- 2 Raizner AE, Hust RG, Lewis JM, et al. Transluminal coronaryangioplasty in the eiderly. Am L Cardiol, 1986:29-32.
- 3 Rich JJ, Crispino CM, Saporito JJ, et al. Percutaneous transluminalcoronary angioplasty in patients 80 year of age and older. Am J Cardio,1990,65:675-676.
- 4 老年人冠心病介入治疗的进展及注意事项.中华老年医学杂 志,1998,17:259-261.
- 5 Myler RK, Webb JG, Nguyen DPV, et al. Coronary angioplasty inoctogenarians: comparison to coronary bypass surgery. Cathet Cardiovase Diagn, 1991,23:3-9.
- 6 Alfonso F, Azcona L, Perez-Vizcayno MJ, et al. Initial result and long-term clinical and angiographic implications of coronary stenting in elderly patients. AM J Cardiol, 1999,83:1483-1487.
- 7 梁春卉,杜有仪,程景新.70岁以上老年人急性心肌梗死临床特 点.中华老年医学杂志,1998,17:259-261.