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目的研究老年急性冠脉综合征急诊介入治疗的疗效。方法对13例接受急诊介入治疗的老年急性冠脉综合征患者以及常规药物治疗的对照组10例进行疗效及血凝指标的研究。结果 PTCA组和常规治疗组在有可比性的前提下进行比较,PTCA组的死亡率、冠状动脉残余狭窄、并发症的情况优于对照组,且差异具有统计学意义(P<0.05)。通过急诊科的治疗,24h后PTCA组和常规治疗组之间血凝指标的差异具有统计学意义(P<0.05)。结论 PTCA组的治疗急诊老年急性冠脉综合征的疗效优于常规治疗组,值得急诊科推广。
Objective To study the effect of emergency interventional treatment of senile acute coronary syndrome. Methods Thirteen elderly patients with acute coronary syndrome who received emergency intervention and 10 patients who were treated with conventional drugs were enrolled in this study. Results The PTCA group and the conventional treatment group were comparably compared. The mortality, residual coronary artery stenosis and complications in the PTCA group were better than those in the control group (P <0.05). After treatment by emergency department, the difference of hemagglutination index between PTCA group and conventional treatment group after 24 hours was statistically significant (P <0.05). Conclusion The efficacy of PTCA in the treatment of acute elderly patients with acute coronary syndrome is better than that of conventional treatment group and is worthy of promotion in emergency department.