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目的探讨降低老年冠心病冠状动脉介入术后心脏不良事件发生率的影响因素。方法回顾性分析老年冠心病冠状动脉介入术后301例患者的临床资料,分析影响心脏不良事件发生的主要因素。结果 1年的随访期内,301例患者发生术后心脏不良事件的患者共121例,占40.2%,其中包括典型心绞痛症状再次发作的患者35例,占11.6%;发生心功能不全的患者78例,占25.9%;发生心源性死亡的患者8例,占2.7%。老年冠心病冠状动脉介入术后不良事件的发生与患者的年龄、血压与血糖变化、是否合并感染、病变的复杂程度、血管狭窄程度等相关。结论要通过更为严谨的术前处理和术后管理降低术后不良事件的发生率。
Objective To explore the influencing factors of reducing the incidence of cardiac adverse events after coronary intervention in elderly patients with coronary heart disease. Methods The clinical data of 301 patients with coronary heart disease (CHD) after coronary intervention were retrospectively analyzed. The main factors affecting the occurrence of cardiac adverse events were analyzed. Results During the one-year follow-up period, 121 patients (n = 40.2%) had 301 postoperative adverse cardiac events, including 35 patients (11.6%) with recurrent episodes of typical angina symptoms. Patients with cardiac insufficiency Cases, accounting for 25.9%; 8 cases of cardiac death occurred, accounting for 2.7%. The occurrence of adverse events after coronary intervention in elderly patients with coronary artery disease and age, blood pressure and blood glucose changes, whether the infection, the complexity of the disease, the degree of vascular stenosis and so on. Conclusion To reduce the incidence of postoperative adverse events through more rigorous preoperative management and postoperative management.