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Clinical observation of traumatic therapy in senium patients with acute coronary syndrome
Author(s): 
Pages: 1538-1539
Year: Issue:  9
Journal: THE JOURNAL OF PRACTICAL MEDICINE

Keyword:  冠状动脉疾病冠状动脉旁路移植术非体外循环血管成形术经腔经皮冠状动脉;
Abstract: 目的:探讨老年急性冠脉综合征患者是否从有创治疗冠状动脉腔内成形术(PCI)及冠脉搭桥术(CABG)中获益.方法:200例老年(≥65岁)急性冠脉综合征患者,100例经冠脉造影后接受PCI或CABG治疗.为有创治疗组,其中PCI 88例,CABG 12例.100例接受药物治疗为药物治疗组.比较30 d和6个月内急性心肌梗死发生率及30 d和6个月内死亡发生率.结果:两组患者在基本情况(年龄、性别、吸烟、患糖尿病、高血压、陈旧性心肌梗死、左室射血分数)均无统计学差异(P>0.05)的前提下.30 d和6个月内急性心肌梗死发生率及心源性死亡发生率有创治疗组均明显下降,两组比较均有统计学差异(P<0.05).结论:老年急性冠脉综合征者应积极接受冠脉造影及有创治疗,要比从药物治疗中获益更多.
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