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目的 :探讨不同年龄段急性心肌梗死患者介入治疗的预后。方法 :选取行介入治疗的急性心肌梗死患者120例,按照不同年龄段分为中青年组(<60岁)和老年组(≥60岁)各60例,对其预后进行回顾性分析。结果 :两组患者介入治疗前梗死相关动脉(前降支、回旋支、右冠状动脉)分布比较,差异无统计学意义。老年组患者多支冠脉病变发生率明显高于中青年组患者,差异具有统计学意义。中青年组手术并发症,住院天数及心功能恢复情况均优于老年组,差异具有统计学意义;中青年组住院期间心血管事件发生率与老年组比较,差异无统计学意义。中青年组术后1年MACE发生率明显低于老年组,差异具有统计学意义;中青年组病死率和老年组比较,差异无统计学意义。结论 :年龄是影响急性心肌梗死介入治疗预后的危险因素,中青年急性心肌梗死患者预后优于老年急性心肌梗死患者。对于老年急性心肌梗死患者应及时进行介入治疗,采取有效治疗措施,同样也能有利于预后恢复。
Objective: To investigate the prognosis of interventional therapy in patients with acute myocardial infarction of different ages. Methods: A total of 120 acute myocardial infarction patients were enrolled in this study. According to different age groups, 60 cases were divided into middle-aged group (<60 years old) and elderly group (≥60 years old). The prognosis was retrospectively analyzed. Results: There was no significant difference in the distribution of infarction-related arteries (anterior descending branch, circumflex branch, right coronary artery) between the two groups before PCI. The incidence of multiple coronary artery disease in the elderly group was significantly higher than that in the middle-aged and young group, the difference was statistically significant. There was no significant difference in the incidence of cardiovascular events among the young and middle-aged patients in the middle-aged and young groups when compared with the elderly patients. There was no significant difference in the incidence of cardiovascular complications among the young and middle-aged patients. The incidence of MACE at 1 year after operation in young and middle-aged patients was significantly lower than that in elderly patients, the difference was statistically significant. There was no significant difference in mortality between middle-aged and young patients. Conclusion: Age is a risk factor for the prognosis of acute myocardial infarction. The prognosis of middle-aged and young patients with acute myocardial infarction is superior to that of elderly patients with acute myocardial infarction. For elderly patients with acute myocardial infarction should be timely intervention, to take effective treatment, the same can also be beneficial to prognosis recovery.