老年女性冠心病的临床特点及经皮冠状动脉介入治疗价值评价(1)
【摘要】 目的：研究分析老年女性冠心病的臨床特点，并探讨经皮冠状动脉介入治疗老年女性冠心病的临床效果。方法：选取2014年1月-2017年10月就诊于本院的100例老年女性冠心病患者作为研究对象，将其设置为老年组，另选取同期就诊于本院的100例青年女性冠心病患者，将其设置为青年组。比较两组的临床资料，分析两组的冠心病类型、血脂水平、冠脉造影结果，总结老年女性冠心病的临床特点。针对老年女性冠心病患者实施经皮冠状动脉介入治疗，比较治疗前后患者的心功能指标、血脂水平、生存质量评分，统计心脏不良事件发生情况。结果：两组患者冠心病类型比较中，老年组不稳定型心绞痛、心肌梗死比例均高于青年组(P<0.05)；在血脂水平方面，老年组总胆固醇、甘油三酯、低密度脂蛋白胆固醇均高于青年组(P<0.05)；冠脉造影结果显示，老年组的多支血管病变和冠脉中、重度狭窄比例均高于青年组，差异均有统计学意义(P<0.05)。经皮冠脉介入治疗后，老年女性冠心病患者的左心射血分数高于治疗前，NT-proBNP水平、各项血脂指标均低于治疗前，生存质量评分均高于治疗前，差异均有统计学意义(P<0.05)，且未发生心脏不良事件。结论：老年女性冠心病患者的冠脉病变程度较青年女性冠心病患者更加严重，采取经皮冠脉介入手术治疗老年女性冠心病患者可有效改善其心功能，促使其血脂水平降低，有利于提高患者生存质量。
, 百拇医药
【关键词】 老年女性冠心病； 经皮冠状动脉介入术
Clinical Characteristics and Value of Percutaneous Coronary Intervention in Elderly Women with Coronary Heart Disease/NING Zhen.//Medical Innovation of China，2018，15(14)：115-118
【Abstract】 Objective：To study the clinical characteristics of elderly women with coronary heart disease，and to explore the clinical effect of percutaneous coronary intervention on coronary heart disease in elderly women.Method：A total of 100 elderly women patients with coronary heart disease from January 2014 to October 2017 were selected as study objects，they were set up as the elderly group.Another 100 young women patients with coronary heart disease were selected and set up as the young group.The clinical data of the two groups were compared，the type of coronary heart disease，the level of blood lipid and the results of coronary angiography were analyzed，and the clinical characteristics of coronary heart disease in elderly women were summarized.Percutaneous coronary intervention was performed in elderly women with coronary heart disease.Cardiac function index，blood lipid level，quality of life score and adverse cardiac events were compared before and after treatment.Result：The proportion of unstable angina pectoris and myocardial infarction in the elderly group were higher than those in the young group(P<0.05)；in blood lipid level，total cholesterol，triglyceride，low density lipoprotein cholesterol in the elderly group were higher than those in the young group(P<0.05)；the results of coronary angiography showed that the proportion of multivessel lesions and the ratio of coronary artery moderate and severe stenosis in the elderly group were higher than those in the young group，the differences were statistically significant(P<0.05).After percutaneous coronary intervention，the left ventricular ejection fraction in the elderly group was higher than that before treatment，the level of NT-proBNP，blood lipid indexes were lower than those before treatment，and quality of life scores were higher than those before treatment，the differences were statistically significant(P<0.05)，and no adverse cardiac events occurred.Conclusion：The degree of coronary artery disease in elderly women patients with coronary heart disease is more serious than that in young women patients.Percutaneous coronary intervention can effectively improve the cardiac function of elderly women with coronary heart disease and decrease the level of blood lipids，it is beneficial to improve the quality of life of patients., 百拇医药(宁珍)
, 百拇医药
【关键词】 老年女性冠心病； 经皮冠状动脉介入术
Clinical Characteristics and Value of Percutaneous Coronary Intervention in Elderly Women with Coronary Heart Disease/NING Zhen.//Medical Innovation of China，2018，15(14)：115-118
【Abstract】 Objective：To study the clinical characteristics of elderly women with coronary heart disease，and to explore the clinical effect of percutaneous coronary intervention on coronary heart disease in elderly women.Method：A total of 100 elderly women patients with coronary heart disease from January 2014 to October 2017 were selected as study objects，they were set up as the elderly group.Another 100 young women patients with coronary heart disease were selected and set up as the young group.The clinical data of the two groups were compared，the type of coronary heart disease，the level of blood lipid and the results of coronary angiography were analyzed，and the clinical characteristics of coronary heart disease in elderly women were summarized.Percutaneous coronary intervention was performed in elderly women with coronary heart disease.Cardiac function index，blood lipid level，quality of life score and adverse cardiac events were compared before and after treatment.Result：The proportion of unstable angina pectoris and myocardial infarction in the elderly group were higher than those in the young group(P<0.05)；in blood lipid level，total cholesterol，triglyceride，low density lipoprotein cholesterol in the elderly group were higher than those in the young group(P<0.05)；the results of coronary angiography showed that the proportion of multivessel lesions and the ratio of coronary artery moderate and severe stenosis in the elderly group were higher than those in the young group，the differences were statistically significant(P<0.05).After percutaneous coronary intervention，the left ventricular ejection fraction in the elderly group was higher than that before treatment，the level of NT-proBNP，blood lipid indexes were lower than those before treatment，and quality of life scores were higher than those before treatment，the differences were statistically significant(P<0.05)，and no adverse cardiac events occurred.Conclusion：The degree of coronary artery disease in elderly women patients with coronary heart disease is more serious than that in young women patients.Percutaneous coronary intervention can effectively improve the cardiac function of elderly women with coronary heart disease and decrease the level of blood lipids，it is beneficial to improve the quality of life of patients., 百拇医药(宁珍)