北华大学学报（自然科学版）2015，Vol.16Issue(3)：359-362,4.DOI:10.11713/j.issn.1009-4822.2015.03.020
高龄心绞痛患者PCI治疗效果、安全性及护理研究
Effectiveness,Safety and Nursing Research on Percutaneous Coronary Intervention in Older Patients with Angina Pectoris
摘要
Abstract
Objective To study the effectiveness, safety and nursing of percutaneous coronary intervention ( PCI) in the older patients with angina pectoris. Method 81 cases in the age of more than 80 year-old with unstable angina pectoris ( older group ) and 247 cases in the age from 40 to 60 year-old with unstable angina pectoris ( middle aged-group) were treated by PCI. All the patients were implemented the holistic nursing during in-hospital,and the nursing points were summarized. The risk factors, syntax score of coronary lesions, number and length of the stents implanted, recent effectiveness and major complication were comparatively evaluated. Results The susceptibility factors (hypertension,diabetes,hyperlipidemia) in the older group and the middle-aged were significantly different (P<0. 01). Three vessel coronary lesions,Syntax score of coronary lesions,the number and length implanted stents, rates of complete revascularization, hemorrhagic complications and major adverse cardiac events (MACE) were significantly different between the two groups (P<0. 05). The flow rate of target vessel TIMI 3,acute or subacute thrombosis,stroke and death showed no significantly difference between the two groups (P>0. 05). Conclusion The recent effectiveness and safety in the older patients with unstable angina pectoris are the same as those of the middle-aged group. Holistic nursing is the important condition to ensure perioperative rehabilitation for elderly patients.关键词
高龄患者/不稳定型心绞痛/经皮冠状动脉介入治疗/疗效/安全性/护理要点Key words
older patient/unstable angina pectoris/PCI/effectiveness/safety/nursing key points分类
医药卫生引用本文复制引用
许丽华,胡丽丹,闻子叶..高龄心绞痛患者PCI治疗效果、安全性及护理研究[J].北华大学学报（自然科学版）,2015,16(3):359-362,4.基金项目
中国医师协会阳光心血管科研基金研究项目(SCRFCMDA201214). （SCRFCMDA201214）
