不同年龄段冠心病患者心脏介入术后并发症比较及护理

目的总结不同年龄段冠心病患者心脏介入术后并发症的临床特点及护理经验。方法回顾分析我院行心脏介入术的89例冠心病患者的临床资料，根据年龄分为非老年组及老年组并比较各组患者介入术后并发症的发生情况。结果老年组术后并发症发生率显著高于非老年组（分别为54．8％、25．5％，P〈0，01），其中排尿困难、迷走反射、心律失常、术后出血、造影剂肾病及心源性休克为主要并发症，老年组排尿困难、迷走反射、造影剂肾病的发生率显著高于非老年组（均P〈0．05）。结论不同年龄段冠心病患者心脏介入术后并发症发生情况不同，其中老年冠心病患者介入术后并发症较非老年患者高，应针对不同年龄阶段患者的特点采取不同策略进行相关并发症的防治以减少并发症的发生。

Percutaneous Coronary Intervention and Nursing for Patients with Postoperative Complications at Different Age Stages

Objective To summurize the features of postoperative complications in different age stages＇ patients undergoing percutaneous coronary intervention （PCI） and the nursing experience. Methods The clinical data of 89 patients with coronary heart disease undergoing percutaneous coronary intervention were retrospectively analyzed. The patients were grouped into non-elderly group and elderly group based on the age enrolled to the hospital, and the postoperative complications between the two groups were compared. Results The incident rate of complications in elderly group was significantly higher than that in the non-elderly group （54.8% vs 25.5% respectively, P〈0.01）. The main complications were dysuria, vascular vagovagal reflexes, arrhythmia, hemorrhage, radiographic contrast nephropathy and cardiac shock. The incident rate of dysuria, vascular vagovagal reflexes, radiographic contrast nephropathy was higher in the elderly group than that in the non-elderly group （all P〈0.05）. Conclusion The incident rates of postoperative PCI complications are different in patients at different age stages, in which the elderly patients have higher incidence than the non-elderly. Hence, different preventive and therapeutic strategies should be adopted according to the features at different age stages to decrease the relative PCI complications.