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目的探讨对老年急性ST段抬高型心肌梗死患者实施药物保守治疗的预后效果。方法 140例老年急性ST段抬高型心肌梗死患者,根据临床治疗方式不同将其分为观察组(60例)与对照组(80例)。对照组早期给予经皮冠状动脉介入治疗(PCI),观察组给予药物保守治疗。观察对比两组不良事件发生情况。结果两组患者住院期间(35.00%VS 31.25%、16.67%VS 17.50%、25.00%VS 23.75%、10.00%VS 11.25%)及出院1年后(3.33%VS 5.00%、1.67%VS 2.50%、5.00%VS 8.75%、1.67%VS 3.75%)恶性心律失常、缺血而再次住院、心力衰竭及全因死亡发生情况比较差异均无统计学意义(P>0.05)。结论对老年急性ST段抬高型心肌梗死患者进行早期PCI治疗和药物保守治疗预后效果差异不大,高龄老人属特殊人群,对于不积极配合介入治疗的患者可选用药物保守治疗法,也能获得良好的预后。
Objective To explore the prognostic effect of conservative treatment in elderly patients with acute ST-segment elevation myocardial infarction. Methods A total of 140 elderly patients with acute ST elevation myocardial infarction were divided into observation group (60 cases) and control group (80 cases) according to the different clinical treatment. The control group was given percutaneous coronary intervention (PCI) in the early stage, and the observation group was treated conservatively. Observed and compared the incidence of adverse events in two groups. Results After hospitalization (35.00% VS 31.25%, 16.67% VS 17.50%, 25.00% VS 23.75%, 10.00% VS 11.25%) and 1 year after discharge (3.33% VS 5.00%, 1.67% VS 2.50%, 5.00% % VS 8.75%, 1.67% VS 3.75%) had no significant difference in malignant arrhythmia, re-hospitalization due to ischemia, heart failure and all-cause death (P> 0.05). Conclusion The prognosis of elderly patients with acute ST-elevation myocardial infarction treated with early PCI and conservative treatment is not significantly different from that of the elderly. The elderly patients are of special populations. Patients who do not actively cooperate with interventional therapy can also be treated conservatively, Good prognosis.