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|本期目录/Table of Contents|

老年人冠心病小血管介入治疗297例临床分析

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2011年第2期
页码:
245-246,249
栏目:
临床研究
出版日期:
2010-12-10

文章信息/Info

Title:
Study of long-term efficacy of small vessel PCI in elderly coronary heart disease patients
作者:
张华; 张磊; 惠增骞; 丁守良; 杨星昌; 马兰香; 原平利
武警陕西省总队医院心脏中心，陕西 西安 710054
Author(s):
ZHANG Hua;  ZHANG Lei;  HUI Zeng-qian;  DING Shou-liang;  YANG Xing-chang;  MA Lan-xiang;  YUAN Ping-li
Heart Center of Shaanxi Provincial Corps Hospital , Chinese People’s Armed Police Force, Xi’an 710054, Shaanxi, China
关键词:
老年人; 冠状动脉疾病; 小血管; 经皮冠状动脉介入治疗
Keywords:
elderly;  coronary heart disease;  small vessel;  percutaneous coronary Intervention
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的: 观察老年人冠心病小血管病变经皮冠状动脉脉介入治疗（PCI）术后的临床疗效。方法： 进行小血管介入治疗的老年冠心病患者297例。入选标准：年龄≥60岁，小血管定义为直径<3.0 mm。所有患者采用标准植入技术植入雷帕霉素药物洗脱支架。术前、术后均正规使用阿司匹林、氯吡格雷、低分子肝素等药物。结果： PCI术中均未发生严重并发症，术后6个月随访主要心血管不良事件（MACE）发生7例（2.4%）。术后12个月随访MACE发生9例（3.0%）。术后18个月随访MACE发生9例（3.0%）。结论： 老年人冠心病小血管病变介入治疗仍然能够获得满意的远期疗效。
Abstract:
AIM: To study and evaluate the clinical efficacy of percutaneous coronary intervention (PCI) surgery for small vessels in elderly coronary heart disease patients. METHODS: The subjects were chosen from the elderly coronary heart disease patients (aged over sixty) treated with PCI surgeries for small vessels (with diameter less than 3.0 mm) in our center from June 2007 to June 2010. Sirolimus drug-eluting stents were implanted by standard drug-eluting stent implantation techniques. Both pre-surgery and post-surgery, the subjects were given normal doses of medicine, including Aspirin, Clopidogrel and low molecular weight heparin. RESULTS: No major complications were detected during PCI surgery. MACE during the 6-month period after surgery was 7 cases (2.4%), during the 12-month period after surgery was 9 cases (3.0%) and during the 18-month period after surgery was also 9 cases (3.0%). CONCLUSION: The long-term efficacy of PCI surgery for small vessel coronary heart disease of elderly patients is also satisfactory.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2010-08-19.作者简介：张华，主任医师，博士Email:zhwjyy@126.com
更新日期/Last Update: 2010-12-10