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目的分析老年冠心病(CAD)介入治疗的安全性和其影响因素。方法回顾性对比分析连续1754例CAD病人的主要临床和介入资料特点。根据年龄将病例分为成人组(≤64岁)526例、老年组(65~74岁)765例、高龄组(75~84岁)293例,超高龄组(≥85岁)170例。结果老年组与成人组、老年各亚组之间、高龄高危复杂病例组(679例,占55.3%)与老年组之间在介入操作成功率、并发症、围术期病死率和随访主要心脏不良事件发生率方面均无显著差异(P>0.05)。结论(1)对老年CAD病人施行介入治疗操作安全可行。(2)与普通成人相比,对高龄、高危和复杂CAD病人施行介入治疗并不增加并发症和病死率。(3)操作条件和技术水平是影响老年CAD介入治疗质量的重要因素。
Objective To analyze the safety and influencing factors of interventional therapy in elderly patients with coronary heart disease (CAD). Methods Retrospectively analyzed the main clinical and interventional data characteristics of 1754 consecutive CAD patients. The cases were divided into 526 cases of adults (≤ 64 years old), 765 cases of elderly (65-74 years old), 293 cases of elderly (75-84 years old), and 170 cases of ultra-elderly (≥85 years old). Results The success rate, complications, perioperative mortality and follow-up of the major heart between the elderly group and the adult group, the elderly subgroup, the elderly high-risk complex cases group (679 cases, 55.3%) and the elderly group There was no significant difference in the incidence of adverse events (P> 0.05). Conclusion (1) It is safe and feasible to carry out the interventional treatment of elderly patients with CAD. (2) Interventional treatment of elderly, high-risk and complex CAD patients did not increase the complication and mortality compared with that of normal adults. (3) Operating conditions and technical level is an important factor affecting the quality of interventional treatment of elderly CAD.