老年代谢综合征急性冠脉综合征患者PCI的临床评价

目的临床评价老年代谢综合征急性冠脉综合征患者冠状动脉造影及急性期行PCI术。方法选取代谢综合征急性冠脉综合征患者60例,分为老年组30例,中年组30例。紧急冠状动脉造影,针对“罪犯”冠脉进行PTCA及必要时行PCI术;术后随访6个月。结果两组再灌注的平均时间大致相同。老年组多支病变的发生率较中年组高（P〈0.01）。老年组急性期及恢复期冠脉造影的病变冠脉记分均高于中年组（P〈0.05）;老年组支架内再狭窄发生率较中年组显著增高（P〈0.01）。结论老年急性冠脉综合征患者多支病变的发生率较高;急性期实施PCI术后恢复期冠状动脉再狭窄的发生率较高。

The Clinic Evaluation of Coronary Arteriongraphy and PCI to Senile Acute Conoary Syndrome

Objective To evaluate the effect of coronary arteriongraphy and PCI to senile acute myocardial infarction. Methods 60 hospitalized patients of acute conoary syndrome （ACS） are divided into two groups： one is older-age group （n=30） ,the other one is non-older-age group（n=30）.Apply urgent coronary arteriongraphy and PCI aiming at the obstructive coronary artery to the patients of both groups. Apply another coronary arteriongraphy to the patients in the period of 3～6 months after PCI and evaluate the pathological changes of coronary artery by counting the number and the score of involved coronary artery.Results①The average perfusion time is Mike of the two groups. There is no obvious difference of the obstructive ratio between coronary artery of LAD,LCX and RCX;and the incident rate of multi-branches of coronary artery involved in older-age group is more than that in non-older-age group（P〈0.01）.② As far as the coronary arteriongraph in the acute period and the stage of recovery concerned,the score of involved coronary artery in older-age group is more than that in non-older-age group （P〈0.05）;the incident rate of restenosis in older-age group is more than that in non-older-age group significantly （P〈0.01）.Conclusions The incident rate of multi-branches involved of the patients with senile ACS is high;and the incident rate of restenosis of coronary artery in the stage of recovery is high after PCI in the period of acute myocardial infarction.